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一例合并完全性心脏传导阻滞的右冠状动脉双支伴分叉狭窄病例。

A case of double right coronary artery with bifurcation stenosis in association with complete heart block.

作者信息

Singh A K, Pandey A K

机构信息

Interventional cardiologist, Heritage Hospital, Varanasi, India.

出版信息

J Cardiovasc Dis Res. 2012 Jul;3(3):242-4. doi: 10.4103/0975-3583.98903.

DOI:10.4103/0975-3583.98903
PMID:22923946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3425035/
Abstract

Congenital coronary artery anomalies are present at birth, but most anomalies are discovered as incidental findings during coronary angiography or at autopsy. Double right coronary artery (RCA) is a rare coronary anomaly. Double RCA with bifurcation stenosis in association with degenerative complete heart block (CHB) have never been reported in literature to the best of our knowledge. We therefore report an interesting case of a patient with double RCA and degenerative CHB.

摘要

先天性冠状动脉异常在出生时就已存在,但大多数异常是在冠状动脉造影或尸检时作为偶然发现被检测到的。双右冠状动脉(RCA)是一种罕见的冠状动脉异常。据我们所知,双RCA合并分叉狭窄并伴有退行性完全性心脏传导阻滞(CHB)的情况在文献中尚未见报道。因此,我们报告了一例双RCA合并退行性CHB的有趣病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/2420919b4bd9/JCDR-3-242-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/fafacba05b93/JCDR-3-242-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/5959eb7a71f3/JCDR-3-242-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/5f57552f30a8/JCDR-3-242-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/9b9ee8362f4f/JCDR-3-242-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/2420919b4bd9/JCDR-3-242-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/fafacba05b93/JCDR-3-242-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/5959eb7a71f3/JCDR-3-242-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/5f57552f30a8/JCDR-3-242-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/9b9ee8362f4f/JCDR-3-242-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c53/3425035/2420919b4bd9/JCDR-3-242-g005.jpg

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本文引用的文献

1
Double right coronary artery with acute inferior wall myocardial infarction.双右冠状动脉伴急性下壁心肌梗死。
J Invasive Cardiol. 2008 Feb;20(2):E37-40.
2
Double right coronary artery: report of two cases and review of the literature.双右冠状动脉:两例报告并文献复习
Int J Cardiol. 2008 Nov 12;130(2):e74-7. doi: 10.1016/j.ijcard.2007.11.073. Epub 2008 Jan 22.
3
Origin and distribution anomalies of the left anterior descending artery in 70,850 adult patients: multicenter data collection.70850例成年患者左前降支动脉的起源和分布异常:多中心数据收集
Catheter Cardiovasc Interv. 2006 Oct;68(4):574-85. doi: 10.1002/ccd.20858.
4
MDCT detection of double right coronary artery arising from a single ostium in the right sinus of Valsalva: report of 2 cases.多层螺旋CT检测到起源于右冠状动脉窦单一开口的双右冠状动脉:2例报告
Int J Cardiol. 2007 Feb 7;115(2):239-41. doi: 10.1016/j.ijcard.2006.01.060. Epub 2006 Jun 12.
5
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.