Abstract：
Coronary artery anomalies (ANOCOR) are congenital anomalies with various anatomical forms. Percutaneous treatment can be offered in certain situations, most often to address associated atherosclerotic disease or, more rarely, to correct a congenital stenosis. Due to the frequent difficulties of catheterization, percutaneous coronary interventions for ANOCOR are recognized as complex procedures. A thorough anatomical understanding facilitates the identification of the connection site and the initial ectopic course of an ANOCOR during coronary angiography. Selecting an appropriate catheter is a crucial step in the procedure. There is a higher prevalence of atherosclerotic disease along retroaortic courses compared to other ectopic courses. When treating atherosclerotic stenosis downstream of an ectopic course, techniques typically used for complex coronary procedures can be helpful. While angioplasty for congenital stenosis is technically feasible, its role in management algorithms remains to be defined. Currently, this type of percutaneous treatment may be offered to right ANOCOR with interarterial course in adults over 35 years old and with ischemic symptoms or myocardial ischemia.
摘要：
冠状动脉异常（ANOCOR）是具有各种解剖形式的先天性异常。在某些情况下可以提供经皮治疗，最常见的是解决相关的动脉粥样硬化疾病或，很少,来矫正先天性狭窄.由于导管插入的频繁困难，经皮冠状动脉介入治疗ANOCOR被认为是复杂的手术.彻底的解剖学理解有助于在冠状动脉造影期间识别连接部位和ANOCOR的初始异位过程。选择合适的导管是手术中的关键步骤。与其他异位病程相比，沿主动脉后路的动脉粥样硬化疾病的患病率更高。当治疗异位病程下游的动脉粥样硬化狭窄时，通常用于复杂冠状动脉手术的技术可能会有所帮助。虽然先天性狭窄的血管成形术在技术上是可行的，它在管理算法中的作用还有待定义。目前,对于35岁以上且有缺血症状或心肌缺血的成人,动脉间病程的右侧ANOCOR可采用这种类型的经皮治疗.
