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孤立性单冠状动脉:对连续50000例冠状动脉造影的回顾。

Isolated single coronary artery: a review of 50,000 consecutive coronary angiographies.

作者信息

Desmet W, Vanhaecke J, Vrolix M, Van de Werf F, Piessens J, Willems J, de Geest H

机构信息

Department of Cardiology, University Hospital Gasthuisberg, Leuven, Belgium.

出版信息

Eur Heart J. 1992 Dec;13(12):1637-40. doi: 10.1093/oxfordjournals.eurheartj.a060117.

DOI:10.1093/oxfordjournals.eurheartj.a060117
PMID:1289093
Abstract

Single coronary artery is a rare congenital anomaly of the coronary arteries where only one coronary artery arises from the aortic trunk by a single coronary ostium, supplying the entire heart. A database consisting of the angiographic reports of 50,000 consecutive coronary angiographies performed in adult patients in the University Hospital of Leuven between March 1973 and August 1991 was searched for the diagnosis of single coronary artery. All films concerned were reviewed and classified according to their anatomical type. Thirty-three cases of single coronary artery were retrieved, yielding an incidence of 0.066%. Patient characteristics and clinical data are described, with a discussion on the pathological importance of this finding.

摘要

单冠状动脉是一种罕见的冠状动脉先天性异常,即只有一条冠状动脉通过单个冠状动脉口从主动脉干发出,为整个心脏供血。对1973年3月至1991年8月在鲁汶大学医院成年患者中连续进行的50000例冠状动脉造影的血管造影报告数据库进行检索,以查找单冠状动脉的诊断情况。对所有相关胶片进行了复查,并根据其解剖类型进行了分类。共检索到33例单冠状动脉病例,发病率为0.066%。描述了患者特征和临床数据,并对这一发现的病理重要性进行了讨论。

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