编织样左冠状动脉1例
Braided Left Coronary Artery: A Case Report
DOI: 10.12677/jcpm.2025.45467, PDF,   
作者: 刘 旭：济宁医学院临床医学院，山东 济宁；高荣华*：济宁医学院附属医院心内科；山东省医药卫生心血管病学重点学科(济宁医学院附属医院)；山东省医药卫生心血管疾病诊疗重点实验室(济宁医学院附属医院)；济宁市冠脉介入精准治疗研究重点实验室，山东 济宁
关键词: 编织样冠状动脉；诊断；治疗；冠状动脉造影；Braided Coronary Artery； Diagnosis； Treatment； Coronary Angiography
摘要: 编织样冠状动脉是冠状动脉先天性畸形中极为罕见的一种。典型的编织样冠状动脉表现为劳力性胸痛或急性冠脉综合征，影像学特征为冠状动脉局部呈“麻花辫样”多腔分隔结构，多伴同侧冠状动脉发育异常或高凝状态相关血栓形成。临床表现既可呈无症状或轻微症状，亦可表现为胸痛、心肌梗死等。本文报道一例以胸痛为主诉的编织样冠状动脉患者，通过该病例的诊疗反思与文献复习，以期对编织样冠状动脉的诊治提供参考价值。
Abstract: The woven coronary artery is an extremely rare type of congenital coronary artery malformation. The typical WCA presents with exertional chest pain or acute coronary syndrome, and its imaging features include a “twisted braid-like” multi-chambered separated structure in the coronary artery, often accompanied by congenital abnormalities of the same side coronary artery or thrombosis related to hypercoagulable state. The clinical manifestations can be asymptomatic or mild symptoms, or they can present as chest pain, myocardial infarction, etc. This article reports a case of a patient with WCA presenting mainly with chest pain. Through the reflection of the diagnosis and treatment of this case and the review of literature, it is expected to provide reference value for the diagnosis and treatment of woven coronary arteries.
文章引用：刘旭, 高荣华. 编织样左冠状动脉1例[J]. 临床个性化医学, 2025, 4(5): 107-111. https://doi.org/10.12677/jcpm.2025.45467

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