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左冠状动脉主干缺如:多层螺旋CT冠状动脉血管造影成像

Absence of the Left Main Coronary Artery: MDCT Coronary Angiographic Imaging.

作者信息

Yilmaz-Cankaya Bahar, Kantarci Mecit, Yalcin Ahmet, Durur-Karakaya Afak, Yuce Ihsan

机构信息

Atatürk University, Faculty of Medicine, Department of Radiology, Erzurum, Turkey.

出版信息

Eurasian J Med. 2009 Apr;41(1):56-8.

PMID:25610065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4261659/
Abstract

Absent left main coronary artery (LMCA) is a rare congenital cardiac malformation. We present a case report of a 65-year-old woman with anomalous origin of the left anterior descending (LAD) and circumflex (LCx) artery separated from the left sinus of Valsalva that was diagnosed by multi-detector row computed tomography (MDCT) coronary angiography. Our case indicates that MDCT plays an important role in the diagnosis of some rare coronary anomalies.

摘要

左冠状动脉主干缺如(LMCA)是一种罕见的先天性心脏畸形。我们报告一例65岁女性病例,其左前降支(LAD)和回旋支(LCx)动脉起源异常,分别发自主动脉窦,经多排螺旋计算机断层扫描(MDCT)冠状动脉造影确诊。我们的病例表明,MDCT在某些罕见冠状动脉异常的诊断中发挥着重要作用。

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本文引用的文献

1
Remarkable anatomic anomalies of coronary arteries and their clinical importance: a multidetector computed tomography angiographic study.冠状动脉显著的解剖异常及其临床重要性:一项多层螺旋计算机断层扫描血管造影研究
J Comput Assist Tomogr. 2006 Nov-Dec;30(6):939-48. doi: 10.1097/01.rct.0000230004.38521.8e.
2
Effect of the reconstruction window obtained at the isovolumic relaxation period on the image quality in electrocardiographic-gated 16-multidetector-row computed tomography coronary angiography studies.等容舒张期获得的重建窗对心电图门控16排多层螺旋CT冠状动脉造影研究图像质量的影响。
J Comput Assist Tomogr. 2006 Mar-Apr;30(2):258-61. doi: 10.1097/00004728-200603000-00017.
3
A randomized comparison between rotational and standard coronary angiography.旋转式冠状动脉造影与标准冠状动脉造影的随机对照研究。
Minerva Cardioangiol. 2005 Feb;53(1):1-6.
4
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.
5
MDCT evaluation of thoracic aortic anomalies in pediatric patients and young adults: comparison of axial, multiplanar, and 3D images.MDCT对儿科患者和年轻成人胸主动脉异常的评估:轴位、多平面和三维图像的比较
AJR Am J Roentgenol. 2004 Mar;182(3):777-84. doi: 10.2214/ajr.182.3.1820777.
6
The diagnosis of congenital coronary anomalies with magnetic resonance imaging.磁共振成像对先天性冠状动脉异常的诊断
Coron Artery Dis. 2001 Dec;12(8):621-6. doi: 10.1097/00019501-200112000-00005.
7
[Congenital anomalies of coronary artery origin: a diagnostic challenge].[冠状动脉起源先天性异常:一项诊断挑战]
Rev Esp Cardiol. 1991 Mar;44(3):161-7.