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本文引用的文献

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Separate origin of major coronary arteries from the right sinus with angioplasty and stenting of anomalous left circumflex and left anterior descending arteries.主要冠状动脉起源于右冠状动脉窦并对异常的左旋支和左前降支进行血管成形术和支架置入术。
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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
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Unstable angina in a patient with single coronary artery.单支冠状动脉患者的不稳定型心绞痛
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Right coronary artery originating from distal left circumflex artery in a patient with an unusual type of isolated single coronary artery.
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Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course.前瞻性超声心动图诊断及外科修复冠状动脉从对侧窦呈动脉间走行的异常起源。
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Origin of the right coronary artery from the left sinus of valsalva and its functional consequences: analysis of 10 necropsy patients.起源于左冠状动脉窦的右冠状动脉及其功能后果：10例尸检患者分析
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Selective coronary arteriography. I. A percutaneous transfemoral technic.选择性冠状动脉造影术。I. 经皮股动脉技术。
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Patterns of distribution of the single coronary artery.单冠状动脉的分布模式。
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Single coronary artery. Analysis of the anatomic variation, clinical importance, and report of five cases.
JAMA. 1974 Oct 14;230(2):243-6. doi: 10.1001/jama.230.2.243.
10
Major anomalies of coronary arterial origin seen in adulthood.成年期可见的冠状动脉起源主要异常。
Am Heart J. 1986 May;111(5):941-63. doi: 10.1016/0002-8703(86)90646-0.

冠状动脉起源于单一瓦尔萨尔瓦窦异常。

Anomalous origin of coronary arteries from a single sinus of Valsalva.

作者信息

Chen Hung Yi

机构信息

Department of Cardiology, Taipei City Hospital, Heping Branch, Taiwan.

出版信息

Exp Clin Cardiol. 2012 Sep;17(3):150-1.

PMID:23620708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3628433/
Abstract

Reports of incidental coronary artery abnormalities range from 0.6% to 1.3% during routine angiography, and 0.3% in autopsies. An isolated single coronary artery is a particularly rare congenital anomaly. Clinical presentation is usually nonspecific; patients with an isolated single coronary anomaly may present with symptoms such as angina, myocardial infarction or sudden cardiac death. The therapeutic options depend on origin, course and termination. It is dangerous and potentially lethal if a single coronary artery is associated with obstructive coronary artery disease. Two cases of anomalous origin of a coronary artery from a single Valsalva sinus without any other visible coronary artery detected by aortography are reported.

摘要

在常规血管造影术中，偶然发现的冠状动脉异常报告发生率为0.6%至1.3%，尸检中为0.3%。孤立的单支冠状动脉是一种极为罕见的先天性异常。临床表现通常不具特异性；孤立性单支冠状动脉异常的患者可能出现心绞痛、心肌梗死或心源性猝死等症状。治疗方案取决于其起源、走行和终止情况。如果单支冠状动脉与阻塞性冠状动脉疾病相关，则很危险且可能致命。本文报告了两例冠状动脉起源于单个主动脉窦且主动脉造影未检测到任何其他可见冠状动脉的病例。