Single coronary artery complicated with type A aortic dissection: a case report

被引:0
作者
Naito, Yuji [1 ]
Suzuki, Fumitaka [1 ]
Murakami, Tatsuya [1 ]
机构
[1] Asahikawa City Hosp, Dept Thorac Surg, 1-65 Kinsei Cho, Asahikawa, Hokkaido 0708610, Japan
来源
GENERAL THORACIC AND CARDIOVASCULAR SURGERY CASES | 2025年 / 4卷 / 01期
关键词
Coronary artery anomaly; Single coronary artery; Dissecting aortic aneurysm; PATIENT;
D O I
10.1186/s44215-025-00204-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Congenital coronary artery anomalies complicated with aortic dissection are rare. We experienced a patient with a single coronary artery presenting with a type A dissecting aortic aneurysm. A 77-year-old woman who experienced sudden back pain and was diagnosed with type A acute aortic dissection was initially treated conservatively because the false lumen thrombosed entirely. Computed tomography taken during 5 weeks of hospitalization incidentally revealed an anomalous single coronary artery arising from the left sinus of Valsalva, and the right coronary artery orifice was absent. One month after being transferred to another institution for rehabilitation, she was reintroduced to us for re-dissection of the aorta. An urgent operation involving aortic arch replacement was performed. There was a solitary coronary artery orifice at the left sinus of Valsalva and no ostium at the right sinus. The postoperative course was uneventful, and the patient was discharged 14 days after the surgery. Only 3 cases involving a single coronary artery complicated with dissecting aortic aneurysm have been reported previously.
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页数:4
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