肺动脉异常右冠状动脉表现为下壁缺血：病例报告。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL

Journal of investigative medicine high impact case reports Pub Date : 2024-01-01 DOI:10.1177/23247096241269935

Bharat Rawlley, Pratyaksh P Vaishnav, Subaina Naeem Khalid, Shweta Paulraj, Ziad A El-Khally, Jamal Ahmed

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引用次数: 0

摘要

我们展示了一名 62 岁男性患者的病例，他患有无症状的肺动脉右冠状动脉异常（ARCAPA）。患者在劳累时出现呼吸困难，心电图显示明显的下Q波和明显的下外侧ST-T波改变。患者接受了核素负荷试验，结果显示下壁缺血。随后，患者接受了冠状动脉造影检查，结果显示存在 ARCAPA。患者接受了手术修复，将右冠状动脉重新植入升主动脉，手术效果良好。我们的病例说明，ARCAPA 在成年晚期出现缺血性症状，并通过矫正手术得到了治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Anomalous Right Coronary Artery From Pulmonary Artery Presenting as Inferior Wall Ischemia: A Case Report.

We illustrate the case of a 62-year-old man with a symptomatic anomalous right coronary artery from pulmonary artery (ARCAPA). Our patient had presented with dyspnea on exertion with electrocardiogram showing pronounced inferior Q waves and marked inferolateral ST-T wave changes. The patient had a nuclear stress test which showed inferior wall ischemia. Subsequently, the patient underwent coronary angiography which showed an ARCAPA. The patient underwent surgical repair with reimplantation of the right coronary artery to the ascending aorta which was tolerated well. Our case illustrates ARCAPA presenting late in adulthood with ischemic symptoms that was treated with corrective surgery.

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来源期刊

Journal of investigative medicine high impact case reports MEDICINE, GENERAL & INTERNAL-

CiteScore

1.90

自引率

0.00%

发文量

165

审稿时长

12 weeks

期刊介绍： The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.