Acute inferior myocardial infarction and coronary spasm in a patient with an anomalous origin of the right coronary artery from the left sinus of valsalva.

Acute inferior myocardial infarction and coronary spasm in a patient with an anomalous origin of the right coronary artery from the left sinus of valsalva.
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右冠状动脉异常起源于左瓦尔萨尔瓦窦的患者发生急性下壁心肌梗死和冠状动脉痉挛。

DOI:
10.1253/jcj.64.641
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发表时间:
2000
期刊:
Japanese circulation journal
影响因子:
--
通讯作者:
Takio Oka
Takio Oka
中科院分区:
--
文献类型:
--
作者:
Bunji Kaku;Hounin Kanaya;Masatoshi Ikeda;Y. Uno;Shinichirou Fujita;Fumihiko Kato;Takio Oka

文献摘要

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一名56岁的日本妇女因急性下壁心肌梗死入院。急诊冠状动脉造影显示右冠状动脉异常起源于左主动脉窦,但右或左冠状动脉均无狭窄或血栓。冠状动脉痉挛是在异常冠状动脉的近端部分的位置引起的,该位置位于主动脉和肺动脉干之间。这被认为是心肌梗死的原因。
A 56-year-old Japanese woman with an acute inferior myocardial infarction was admitted to hospital. Emergency coronary angiography revealed an anomalous origin of the right coronary artery from the left sinus of Valsalva, but there was no stenosis or thrombus in either the right or left coronary artery. Coronary spasm was provoked at the site of the proximal portion of the anomalous coronary artery, which was located between the aorta and pulmonary trunk. This was thought to be the cause of the myocardial infarction.