Strunk W, Bürrig K F, Hort W
Pathologisches Institut der Heinrich-Heine-Universität Düsseldorf.
Z Kardiol. 1990 Apr;79(4):273-8.
In order to determine the distribution of arteriosclerotic plaques in the circumference of coronary arteries 150 hearts were investigated using two different methods. In 100 hearts the coronary vessels were opened longitudinally, and the sites of sclerotic lesions were mapped. The coronary arteries of another 50 hearts were filled with contrast medium, angiography was performed and the arteries were cut into 0.5-cm segments. The first 6 cm of the left anterior descending and the left circumflex arteries and the first 9 cm of the right coronary artery were studied. Segments of 1-cm length in the 100 hearts and of 0.5-cm length in the 50 hearts were examined. It was found, that arteriosclerotic lesions of the coronary arteries are most frequently located on the myocardial side of the vessel circumference. This phenomenon is most evident in the left anterior descending artery, thus possibly being caused by the most pronounced fixation of this artery on the myocardium.
为了确定冠状动脉圆周上动脉粥样硬化斑块的分布情况，使用两种不同方法对150颗心脏进行了研究。在100颗心脏中，纵向切开冠状动脉血管，并绘制硬化病变的部位。另外50颗心脏的冠状动脉注入造影剂，进行血管造影，然后将动脉切成0.5厘米的节段。研究了左前降支和左旋支动脉的前6厘米以及右冠状动脉的前9厘米。对100颗心脏中1厘米长的节段和50颗心脏中0.5厘米长的节段进行了检查。结果发现，冠状动脉的动脉硬化病变最常位于血管圆周的心肌侧。这种现象在左前降支动脉中最为明显，因此可能是由于该动脉在心肌上的固定最为明显所致。
