Nerantzis Christos E, Koulouris Spyridon, Pastromas Socrates
Forensic Medical Service of Athens, Mikras Asias 75, 115 27 Athens, Greece.
Surg Radiol Anat. 2011 May;33(4):373-5. doi: 10.1007/s00276-010-0717-2. Epub 2010 Aug 24.
The purpose of the study was to examine the anatomical variations of the sinus node artery (SNA).
Gross anatomical examination, angiographic evaluation and if necessary dissection were performed in 200 human hearts derived from victims of various accidents.
The SNA was a branch of the right coronary artery in 118 [59%] cases, the left circumflex in 78 [39%] cases and both coronary arteries in 4 [2%] cases. In one subject, the SNA was found to arise from the distal part of the right coronary artery.
In our case, the sinus node was perfused by a SNA arising from the mid-posterior segment of the right coronary artery. Knowledge of this anatomical variation is useful for anatomists and of clinical significance for the interventional cardiologists and mainly for the cardiac surgeons in planning the surgical procedures.
本研究的目的是检查窦房结动脉(SNA)的解剖变异。
对200例因各种事故死亡者的心脏进行大体解剖检查、血管造影评估,必要时进行解剖。
118例(59%)中SNA为右冠状动脉分支,78例(39%)为左旋支分支,4例(2%)为两支冠状动脉分支。在1例受试者中,发现SNA起源于右冠状动脉远端。
在我们的病例中,窦房结由起源于右冠状动脉中后段的SNA供血。了解这种解剖变异对解剖学家有用,对介入心脏病学家具有临床意义,对心脏外科医生在规划手术程序时尤为重要。