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
潘崇 1李崇剑 2王全河 3尤宏钊 2吴长伟 4张洪亮 2赵振燕 2胡奉环 2吴永健2
作者信息
- 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;郑州大学附属郑州中心医院 心内科,郑州 450007
- 2. 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
- 3. 郑州大学附属郑州中心医院 心内科,郑州 450007
- 4. 洛阳市第六人民医院 心内科,洛阳 471000
- 折叠
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.
Abstract
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Key words
interarterial subtype/anomalous origin of coronary artery/acute myocardial infarction/syncope引用本文复制引用
基金项目
中国医学科学院阜外医院青年科学基金资助(2022-FWQN08)
出版年
2024
NETL
NSTL
万方数据