Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva

被引：1

作者：

Hondo, Tatsuya ^{[1
]}

Mogami, Atsuo ^{[1
]}

Miyauchi, Shunsuke ^{[2
]}

Okamura, Sho ^{[2
]}

Sakura, Takuo ^{[1
]}

Sada, Yoshiharu ^{[1
]}

Matsuda, Keiji ^{[1
]}

Eno, Shin ^{[1
]}

机构：

[1] Japan Org Occupat Hlth & Safety, Dept Cardiol, Chugoku Rosai Hosp, Kure, Hiroshima, Japan

[2] Hiroshima Univ, Grad Sch Biomed & Hlth Sci, Dept Cardiovasc Med, Hiroshima, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 04期

关键词：

quadriostial origin; coronary artery disease; coronary artery anomalies; dual left anterior descending arteries; twin circumflex arteries; CIRCUMFLEX ARTERIES; ANOMALOUS ORIGIN; PATIENT; INTERVENTION; OSTIA;

D O I：

10.2169/internalmedicine.2992-19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 82-year-old woman was admitted to our hospital with heart failure. Coronary angiography revealed one anatomically normal right coronary artery and three left coronary arteries (LCA-1, LSA-2, and LSA-3) separately originating from the right sinus of Valsalva, comprising multiple atherosclerotic lesions. LCA-1 became the obtuse marginal branch after branching off into the septal branches. LCA-2 was the main circumflex artery with an obstructive lesion. LCA-3 corresponded to the distal part of the anterior descending branch. The patient died 14 days after hospitalisation. We describe the rarity of quadriostial origin, the unusual course, and the unusual branching of the coronary arteries.

引用

页码：533 / 539

页数：7

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