异常左冠状动脉起源于患有急性冠状动脉综合征的患者
Zahid Khan1,2,3,4
1Acute Medicine, Mid and South Essex National Health Service (NHS) Foundation Trust, Southend-on-Sea, GBR.
Cureus
|April 10, 2024
概括
一个罕见的先天性冠状动脉异常导致一个72岁的男人.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
- 医疗成像医学成像
背景情况:
- 冠状动脉的先天异常起源是一种罕见的心血管形.
- 这包括诸如从瓦尔萨尔瓦右鼻 (RSV) 产生的左环动脉等变异.
研究的目的:
- 介绍一个72岁的病人的病例,因为异常的冠状动脉起源而引起胸痛.
- 描述这种罕见疾病的诊断和治疗方法.
主要方法:
- 一个72岁的男性出现胸痛的病例报告.
- 诊断工作包括热素水平,心电图,心声图,冠状动脉图和CT冠状动脉图.
- 干预涉及右冠状动脉 (RCA) 的初级皮肤通冠状动脉血管塑造.
主要成果:
- 患者表现为胸部疼痛,肌激素升高和左束枝断.
- 冠状动脉扫描显示了严重的近端RCA病变和异常的左前下降动脉 (LAD).
- 在RCA进行了成功的穿皮冠状动脉血管造形术;CT证实了专利性支架和异常的LAD.
结论:
- 遗传冠状动脉异常可以在成年时出现缺血症状.
- 多模式成像和及时干预对于管理这些罕见疾病至关重要.
- 这一案例凸显了在患有无法解释的胸痛的患者中考虑异常冠状动脉的重要性.
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