Trevi G P, Benussi P, Sheiban I, Frasson F
Sem Hop. 1979;55(37-38):1723-6.
In 34 cases, corresponding to 3,7% of all patients underwent coronary arteriography for evaluation of anginal syndrome in our laboratory, it was observed a congenital coronary anomaly on their angiograms. The purpose of this paper is to verify the frequency of coronary anomalies and to evaluate relations existing between these anomalies and anginal syndrome. Coronary arteriograms, in 22 cases (2,44%), revealed exclusively; the presence of a coronary anomaly without occlusive coronary disease, which might per se justify angina. They were distributed as follows : 5 with coronary fistula, 2 with coronary aneurysms, 2 cases with single ostium and finally, 13 subjects with hypoplasia of one of the three major coronary arteries. One infant, 14 months old, had a hyperplasic left discending artery (LDA) draining in right ventricle cavity. Her ECG revealed signs of right ventricle overload. All the other cases had a typical angina syndrome with positive stress test. Left cineventriculography demonstrated left ventricle asynergy in 16 patients. We concluded that typical angina syndrome in our 22 patients, may be attributable to coronary anomalies observed at their coronary arteriograms.
在我们实验室中，34例患者（占所有因心绞痛综合征接受冠状动脉造影患者的3.7%）的血管造影显示存在先天性冠状动脉异常。本文旨在核实冠状动脉异常的发生率，并评估这些异常与心绞痛综合征之间的关系。冠状动脉造影显示，22例患者（2.44%）仅存在冠状动脉异常而无阻塞性冠状动脉疾病，这本身可能是心绞痛的原因。其分布如下：5例冠状动脉瘘，2例冠状动脉瘤，2例单开口，最后13例三大冠状动脉之一发育不全。一名14个月大的婴儿有一条增粗的左降支动脉（LDA）引流至右心室腔。她的心电图显示右心室负荷过重的迹象。所有其他病例均有典型的心绞痛综合征且负荷试验阳性。左心室造影显示16例患者左心室运动不协调。我们得出结论，我们这22例患者的典型心绞痛综合征可能归因于其冠状动脉造影中观察到的冠状动脉异常。
