ST Elevasyonsuz Miyokard İnfarktüslü Hastada Sağ Koroner Ostiumun'dan Kaynaklanan İzole Tek Koroner Arter

Yıl 2013, Cilt: 14 Sayı: 3, 154 - 156, 01.12.2013

Kemal Karaağaç Özlem ARICAN Özlük Mustafa Yılmaz Burhan Aslan Dursun Topal

Öz

Single coronary artery is a rare congenital anomaly. In case of left main artery traveling between aorta and pulmonary artery sudden death can be occurred, although this does not usually effect coronary flow. We present a 63-year-old woman whose coronary angiography for typical chest pain revealed an isolated single coronary artery. On coronary angiography, the whole coronary system originated by a single trunk from the right sinus of Valsalva. A significant flow-limiting lesion was found in the right coronary artery that was successfully treated with percutaneous coronary intervention

Anahtar Kelimeler

Coronary vessel anomalies; coronary artery disease; myocardial infarction

ST Elevasyonsuz Miyokard İnfarktüslü Hastada Sağ Koroner Ostiumun'dan Kaynaklanan İzole Tek Koroner Arter

Öz

Tek koroner arter, oldukça nadir rastlanan konjenital bir anomalidir. Genellikle koroner kan akımını etkilememekle birlikte sol ana koroner arterin aort ile pulmoner arter arasında seyrettiği durumlarda ani ölüm görülebilir. Biz tipik göğüs ağrısı nedeniyle koroner anjiyografi yapılan 63 yaşındaki bayan hastada ortaya çıkan izole tek koroner arteri sunduk. Koroner angiografide, tüm koroner sistem tek gövde halinde sağ sinüs valsalvadan çıkıyordu. Sağ koroner arterde tesbit edilen akımı kısıtlayan önemli darlık perkütan koroner girişimle başarılı bir şekilde tedavi edildi

Anahtar Kelimeler

Koroner damar anomalileri, koroner arter hastalığı, miyokard infarktüsü

Kaynakça

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