冠状动脉左回旋支起源异常1例  

Anomalous origin of left circumflex artery:a case report

作　　者：黄光庆[1] 吴婷[2] 袁良俊[2] 张友恩[2] 

机构地区：[1]湖北医药学院附属人民医院ICU,湖北十堰442000 [2]湖北医药学院附属人民医院心内科临床医学研究所

出　　处：《临床急诊杂志》2016年第3期243-244,共2页Journal of Clinical Emergency

摘　　要：1病例资料患者,女,59岁。因心悸伴纳差、乏力2个月入院。既往史：高血压病,甲状腺切除术后、继发性甲状腺功能减退,腔隙性脑梗死,无吸烟史。查体：T36.6℃,R 18次/min,P 74次/min,BP 160/80mmHg（1mmHg=0.133kPa）,神志清楚,自动体位,心、肺、腹部无阳性体征。住院期间完善相关检查,ECG：窦性心律,ST-T改变（ST V4-V6下移0.05mV,TI、aVL、V4-V5低平或倒置）;In describing the anomalous origin of coronary artery（AOCA）,especially in angiographic terms,a frequently overlooked feature is the originating structure：the aortic root.The incidence of AOCA is generally reported to be about 1%,although less common than acquired coronary artery disease,clinicians and members of the general public should be aware of such anomalies,chiefly because the anomalies can results in myocardial ischemiaand sudden death.The current case report presents the significantly improved symptoms with percutaneous coronary intervention（PCI）in a 59-year-old woman with anomalous origin of left circumflex artery.

关 键 词：冠状动脉起源异常 冠状动脉造影 

分 类 号：R543[医药卫生—心血管疾病]