病例报告:来自左心室外流通道的左主冠状动脉异常起源
Huynh Thi Minh Thuy1,2, Tran Minh Bao Luan2,3, Pham Tho Tuan Anh3
1Diagnostic Imaging Center, Tam Anh General Hospital, Ho Chi Minh City, Vietnam.
Frontiers in cardiovascular medicine
|August 27, 2025
概括
一个罕见的先天性冠状动脉异常, 异常的左侧冠状动脉从左心室外流通道, 尽管有异常, 她没有表现出心肌缺血的迹象,
科学领域:
- 心脏病学
- 遗传性心脏病
- 冠状动脉异常
背景情况:
- 左主冠状动脉 (ALMC) 从左心室外流通道 (LVOT) 产生异常是一种罕见的先天异常.
- 通常导致心肌输液受损和缺血症状.
研究的目的:
- 在无症状的老年患者中报告偶然发现的ALMC病例.
- 在没有缺血症状的情况下讨论这种异常的含义.
主要方法:
- 一位67岁的妇女的病例报告.
- 在常规的手术前心脏评估中偶然发现.
- 综合的解剖学和功能评估包括先进的心脏成像.
主要成果:
- 在主动脉下方由LVOT引起的ALMC被确定.
- 患者无症状,没有临床或成像证据表明心肌缺血.
- 发现右冠状动脉扩大,并发育良好的附带循环.
结论:
- 通过彻底的手术前评估,可以检测出临床上沉默的冠状动脉异常.
- 对于接受非心脏手术的老年患者来说,先进的心脏成像非常重要.
- 对于无症状的ALMC患者和保存的心室功能,非干预方法是合适的.
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