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本文引用的文献

1
Incidence of anomalous origin of coronary artery in 1879 Chinese adults on dual-source CT angiography.1879 例中国成年人冠状动脉起源异常的双源 CT 血管造影分析。
Neth Heart J. 2010 Oct;18(10):466-70. doi: 10.1007/BF03091817.
2
Sixty-four-multi-detector computed tomography diagnosis of coronary artery anomalies in 66 patients.66 例冠状动脉异常的 64 排多层 CT 诊断
Chin Med J (Engl). 2010 Apr 5;123(7):838-42.
3
Anatomic variations and anomalies of the coronary arteries: 64-slice CT angiographic appearance.冠状动脉的解剖变异和异常:64 层 CT 血管造影表现。
Diagn Interv Radiol. 2009 Dec;15(4):275-83. doi: 10.4261/1305-3825.DIR.2550-09.1. Epub 2009 Dec 2.
4
High take-off of right coronary artery: an extremely rare case of RCA anomaly.右冠状动脉高位起始:一例极其罕见的右冠状动脉异常病例。
J Card Surg. 2009 May-Jun;24(3):343-5. doi: 10.1111/j.1540-8191.2009.00834.x.
5
Right coronary artery with high takeoff.
Ann Thorac Surg. 2007 May;83(5):1867-9. doi: 10.1016/j.athoracsur.2006.11.032.
6
Use of multislice computed tomographic coronary angiography for the diagnosis of anomalous coronary arteries.
Am J Cardiol. 2006 Aug 1;98(3):402-6. doi: 10.1016/j.amjcard.2006.02.046. Epub 2006 Jun 12.
7
Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation.冠状动脉异常:分类及心电图门控多排CT表现与血管造影对照
Radiographics. 2006 Mar-Apr;26(2):317-33; discussion 333-4. doi: 10.1148/rg.262055068.
8
Frequency in the anomalous origin of the left main coronary artery with angiography in a Turkish population.土耳其人群中左主冠状动脉异常起源的血管造影频率。
Acta Med Okayama. 2004 Feb;58(1):17-22. doi: 10.18926/AMO/32117.
9
Anomalies of the coronary arteries and their clinical significance.冠状动脉异常及其临床意义。
Circulation. 1956 Nov;14(5):800-5. doi: 10.1161/01.cir.14.5.800.
10
Coronary anomalies: incidence, pathophysiology, and clinical relevance.冠状动脉异常:发生率、病理生理学及临床意义。
Circulation. 2002 May 21;105(20):2449-54. doi: 10.1161/01.cir.0000016175.49835.57.

良性还是恶性异常?左冠状动脉主干在左冠状窦上方极高起始。

Benign or malignant anomaly? Very high takeoff of the left main coronary artery above the left coronary sinus.

作者信息

Rosenthal Robert L, Carrothers Irene A, Schussler Jeffrey M

机构信息

Division of Cardiology, Baylor University Medical Center and Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas 75226, USA.

出版信息

Tex Heart Inst J. 2012;39(4):538-41.

PMID:22949773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3423280/
Abstract

Very high takeoff of the left main coronary artery in the absence of another coronary anomaly is a rare finding. The pathologic consequences of this anomaly are unclear, and the literature on this subject does not agree on whether the condition is dangerous. We present our findings in 2 patients who were discovered to have this anomaly upon noninvasive computed tomographic coronary angiography, and we discuss our analysis of the literature and our management of these patients.

摘要

在不存在其他冠状动脉异常的情况下,左冠状动脉主干极高起始是一种罕见的发现。这种异常的病理后果尚不清楚,关于这个主题的文献对于该情况是否危险也未达成一致。我们展示了2例在无创计算机断层扫描冠状动脉造影时被发现有这种异常的患者的研究结果,并讨论了我们对文献的分析以及对这些患者的处理。