Grigorov Vladimir, Goldberg Leonid, Mekel Joris
Division of Cardiology, Helen Joseph Hospital and University of the Witwatersrand, Johannesburg, South Africa.
Int J Cardiovasc Intervent. 2000 Mar;3(1):47-49. doi: 10.1080/14628840050516316.
The incidence of coronary ostial stenosis in patients undergoing coronary arteriography has been found to range between 0.07 and 0.25%. A slightly higher incidence has been observed in patients with angiographically confirmed coronary artery disease: between 0.13 and 2.7%. Bilateral ostial stenosis is even less common. Although cardiovascular syphilis is no longer a prominent condition, it must be considered in the differential diagnosis since it carries a very high risk (50%) of cardiovascular complications if left untreated. Ostial coronary stenosis occurs in 26% of patients with syphilitic aortitis. This paper reports on a 41-year-old Wasserman (WR)-positive woman with progressive angina caused by bilateral ostial coronary stenosis.
冠状动脉造影患者中冠状动脉开口狭窄的发生率在0.07%至0.25%之间。在血管造影证实有冠状动脉疾病的患者中观察到的发生率略高：在0.13%至2.7%之间。双侧开口狭窄更为少见。尽管心血管梅毒已不再是一种突出的疾病，但在鉴别诊断中必须考虑到它，因为如果不治疗，它会带来非常高的心血管并发症风险（50%）。26%的梅毒性主动脉炎患者会出现冠状动脉开口狭窄。本文报告了一名41岁的梅毒血清学阳性女性，因双侧冠状动脉开口狭窄导致进行性心绞痛。
