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源于主动脉的异常左冠状动脉合并变异型心绞痛：术后难题成功解决。

Anomalous left coronary artery from aorta with Prinzmetal's angina: a postoperative dilemma successfully managed.

作者信息

Nathan M, Singh M, Lakdawala N, Bacha E A

机构信息

Department of Cardiac Surgery, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Pediatr Cardiol. 2007 Sep-Oct;28(5):400-2. doi: 10.1007/s00246-007-0040-9. Epub 2007 Aug 8.

DOI:10.1007/s00246-007-0040-9
PMID:17687589
Abstract

Anomalous aortic origin of one of the coronary arteries is uncommon. There have been few reports of the left coronary artery arising from the noncoronary sinus. The occurrence of Prinzmetal's angina in association with anomalous aortic origin is extremely rare. We report a case of such a combination and discuss the diagnostic options and therapeutic decision making.

摘要

冠状动脉之一的主动脉起源异常并不常见。关于左冠状动脉起源于无冠状动脉窦的报道很少。与主动脉起源异常相关的变异型心绞痛的发生极为罕见。我们报告了这样一例病例组合，并讨论了诊断选择和治疗决策。

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Pediatr Cardiol. 2007 Sep-Oct;28(5):400-2. doi: 10.1007/s00246-007-0040-9. Epub 2007 Aug 8.
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Z Kardiol. 1982 Jan;71(2):106-11.
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本文引用的文献

1
Variations in presentation and various options in management of variant angina.
Eur J Cardiothorac Surg. 2006 May;29(5):748-59. doi: 10.1016/j.ejcts.2006.01.033. Epub 2006 Feb 14.
2
Left coronary artery arising from the non-coronary sinus: a rare congenital coronary anomaly.左冠状动脉起源于无冠状动脉窦：一种罕见的先天性冠状动脉异常。
Pediatr Cardiol. 2005 Sep-Oct;26(5):672-4. doi: 10.1007/s00246-004-0847-6.
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Anomalous origin of the main stem of the left coronary artery from the non-facing sinus of valsalva associated with sudden death in a young athlete.一名年轻运动员因左冠状动脉主干起源于瓦氏窦无对应窦并伴有猝死。
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Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease.冠状动脉异常起源与猝死风险：一项基于先天性心脏病尸检人群的研究
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Lethal postoperative coronary artery spasm.致命性术后冠状动脉痉挛
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Anomalous origin of left main coronary artery from the noncoronary sinus: an intravascular ultrasound observation.左冠状动脉主干起自无冠状动脉窦：血管内超声观察
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Cathet Cardiovasc Diagn. 1997 Nov;42(3):270-5. doi: 10.1002/(sici)1097-0304(199711)42:3<270::aid-ccd8>3.0.co;2-9.
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Coronary artery anomalies in 126,595 patients undergoing coronary arteriography.126595例行冠状动脉造影患者的冠状动脉异常情况
Cathet Cardiovasc Diagn. 1990 Sep;21(1):28-40. doi: 10.1002/ccd.1810210110.
9
Origin of the left main coronary artery from the "non-coronary" sinus of Valsalva.左冠状动脉起源于主动脉窦的“无冠状动脉”窦。
Cathet Cardiovasc Diagn. 1991 Mar;22(3):190-2. doi: 10.1002/ccd.1810220308.