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[冠状动脉血管异常发育异常合并冠状动脉血栓形成病例中的早期心肌缺血性病变]

[Early ischemic lesion of the myocardium in a case of unusual developmental anomaly of the coronary vessels and coronary thrombosis].

作者信息

Degrell P, Sótonyi G

出版信息

Morphol Igazsagugyi Orv Sz. 1975 Jan;15(1):37-41.

PMID:1117871
Abstract

An uncommon form of anomaly of coronary arteries is reported, similar to which had not as yet been published. A single right arteria coronaria was found having an only left branch with a thin vena-like wall, descending on the anterior surface of the heart. The lumen of the sclerotic right arteria was occluded by a thrombus at the point of origin of ramus descendens posterior. The cause of death was an acute cardiac failure, in which authors prescribe an important part to the anomaly of coronary arteries. Areas of myocard getting blood supply from the occluded arteria were investigated by the method of fuchsinorrhagia. Authors believe, that this reaction is suitable for the demonstration of the acute, early ishaemic lesions of the myocard.

摘要

报道了一种不常见的冠状动脉异常形式,类似的情况尚未见发表。发现一条单一的右冠状动脉,仅有一个左分支,其壁薄如静脉,沿心脏前表面下行。硬化的右冠状动脉管腔在降支后支起始处被血栓阻塞。死因是急性心力衰竭,作者认为冠状动脉异常在其中起了重要作用。采用品红出血法研究了由阻塞动脉供血的心肌区域。作者认为,这种反应适用于显示心肌的急性早期缺血性病变。

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