Trivellato M, Angelini Paolo, Leachman Robert D.
Department of Cardiology, Texas Heart Institute of St. Luke's Episcopal and Texas Children's Hospitals, Houston, Texas.
Cardiovasc Dis. 1980 Dec;7(4):357-370.
We offer a comprehensive classification of coronary artery anomalies, together with angiographic examples of each entity. Minimal requirements for normality include the following criteria: (1) the dual aortic origin is from right and left coronary ostia; (2) the course of the right coronary artery follows the right atrioventricular groove; (3) the course of the left coronary artery follows the left atrioventricular groove and anterior interventricular groove; (4) the posterior descending branch originates from either the right or left coronary artery; (5) the major coronary branches flow epicardially; and (6) the coronary arteries terminate at the myocardial capillary level. This conception of "normal" coronary arteries has determined the classification of abnormalities presented here. Early and correct diagnosis of anomalies that may compromise the myocardial blood supply is stressed, and possible surgical solutions are offered. Selective coronary angiography is the technique of choice for precise visualization of the coronary artery system.
我们提供了冠状动脉异常的全面分类，并配有每种类型的血管造影示例。正常冠状动脉的最低要求包括以下标准：（1）双主动脉起源于右冠状动脉窦和左冠状动脉窦；（2）右冠状动脉走行于右房室沟；（3）左冠状动脉走行于左房室沟和前室间沟；（4）后降支起源于右冠状动脉或左冠状动脉；（5）主要冠状动脉分支在心外膜表面走行；（6）冠状动脉终止于心肌毛细血管水平。这种“正常”冠状动脉的概念决定了此处所呈现的异常分类。强调对可能影响心肌血供的异常进行早期和正确诊断，并提供了可能的手术解决方案。选择性冠状动脉造影是精确显示冠状动脉系统的首选技术。
