右冠状动脉起源于肺动脉1例

A case report of right coronary artery originating from the pulmonary artery

1病例资料 患者,女,58岁,主因＂反复心慌、胸闷5年,加重3d＂入院。患者于2008年无诱因反复出现胸闷、气促、心慌、心前区闷痛阵发性发作,休息或口服复方丹参滴丸后数分钟可缓解,未正规诊治。2013年1月自觉上述症状加重就诊我院。自诉既往体健。体检：心尖搏动位置、范围正常,叩诊心界不大,心率63次/min,律齐,未闻及杂音。平板运动试验提示为可疑阳性。心脏彩超提示：二尖瓣中-重度关闭不全,左室弛张性差,未见明显冠状动脉（冠脉）扩张及异常血流。颈动脉超声未见异常。

Anomalous origin of the right coronary artery from the pulmonary artery is an extremely rare malformation,the incidence rate of about 0.002 percent.So far 98 cases have been reported abroad.Case 1,Female,58 years old,admitted to hospital for palpitation and chest tightness,After the diagnosis of coronary CT：Anomalous origin of the right coronary artery from the pulmonary artery.Recommended that patient underwent surgery,but the patient refused.