大动脉间型冠状动脉异常起源于主动脉致急性心肌梗死伴晕厥一例  

Acute Myocardial Infarction and Syncope Caused by Interarterial Subtype of a Coronary Artery Originating From Anomalous Aorta:a Case Report

作　　者：潘崇 李崇剑[1] 王全河 尤宏钊 吴长伟 张洪亮[1] 赵振燕[1] 胡奉环[1] 吴永健[1] PAN Chong;LI Chongjian;WANG Quanhe;YOU Hongzhao;WU Changwei;ZHANG Hongliang;ZHAO Zhenyan;HU Fenghuan;WU Yongjian(Coronary Heart Disease Center,National Center for Cardiovascular Diseases and Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China;Department of Cardiology,Zhengzhou Central Hospital of Zhengzhou University,Zhengzhou 450007,China;Department of Cardiology,The Sixth People's Hospital of Luoyang,Luoyang 471000,China)

机构地区：[1]中国医学科学院北京协和医学院国家心血管病中心阜外医院冠心病中心,北京100037 [2]郑州大学附属郑州中心医院心内科,郑州450007 [3]洛阳市第六人民医院心内科,洛阳471000

出　　处：《中国循环杂志》2024年第9期917-919,共3页Chinese Circulation Journal

基　　金：中国医学科学院阜外医院青年科学基金资助(2022-FWQN08)。

摘　　要：大动脉间型冠状动脉异常起源于主动脉是一种少见的先天性心血管畸形,表现为劳累或活动后胸痛、晕厥,可导致心脏收缩功能下降、心肌梗死,甚至猝死。本文报道1例活动时胸痛伴晕厥、意识丧失的青少年患者,起初诊断为急性心肌梗死,通过超声心动图、冠状动脉造影、冠状动脉CT血管成像检查后确诊为大动脉间型冠状动脉异常起源于主动脉,行冠状动脉起源异常矫治+冠状动脉成形术,术后恢复良好。Interarterial subtype of coronary artery with anomalous aortic origin is a rare and congenital cardiovascular malformation,manifested by chest pain and syncope after exertion or activity,which can lead to decreased cardiac contractility,myocardial infarction,and even sudden death.Here we report a case of an adolescent patient,who presented with chest pain during activity accompanied by syncope and lost consciousness.Initially diagnosed with acute myocardial infarction,the patient was subsequently diagnosed as interarterial subtype of a coronary artery originating from anomalous aorta after echocardiography,coronary angiography,coronary CT angiography examinations.After anomalous coronary artery correction and coronary angioplasty,the paitent recovered well.

关 键 词：大动脉间型 冠状动脉异常起源 急性心肌梗死 晕厥 

分 类 号：R54[医药卫生—心血管疾病]