Exercise-Induced Myocardial Ischemia in a Case of Anomalous Origin of the Left Main Coronary Artery from the Noncoronary Sinus of Valsalva

被引：0
作者：
Mitsunori Nishiyama
Shouzaburo Doi
Akiko Matsumoto
Masato Nishioka
Susumu Hosokawa
Akihito Sasaki
Shuki Mizutani
机构：
[1] Tokyo Medical and Dental University,Graduate School of Medicine
来源：
Pediatric Cardiology | 2011年 / 32卷
关键词：
Anomalous origin of the coronary artery; Acute angle take-off of the coronary artery; Sudden cardiac death; Myocardial ischemia;
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学科分类号：
摘要：
We report a case of anomalous origin of the left main coronary artery (LCA) from the noncoronary sinus of valsalva (LCANCS) in a young healthy patient who presented with syncope and cardiopulmonary arrest during exercise. The enhanced computed tomography showed acute angle take-off (AAT) of LCA, and the exercise stress thallium-201 myocardial scintigraphy demonstrated a large defect at the LCA perfusion region. We propose that the coexistence of AAT and resulting ischemia causes sudden cardiac death during exercise in the patients with LCANCS.
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