Weiler G, Risse M
Institute of Forensic Medicine, Justus Liebig University, Giessen, Germany.
Cardiovasc Pathol. 1994 Jan-Mar;3(1):51-5. doi: 10.1016/1054-8807(94)90007-8.
Intramural courses of the coronary arteries in the sense of coronary muscle bridges are frequent autopsy findings, whereas only the more pronounced forms are accessible to clinicoangiographic detection. Functional significance is attributable to morphologic forms that show a pronounced intramural course and to those exhibiting quantitative cross-sectional changes. In addition to the known morphometric findings in the case of coronary muscle bridges, we found a stenosis-like narrowing of intramurally coursing arteries without alterations of the intima. We observed such quantitative coronary artery findings in four cases with different causes of death, and in this paper we discuss the possible functional significance of this special type of coronary muscle bridge.
从冠状动脉肌桥的角度来看，冠状动脉壁内走行在尸检中是常见发现，而只有较明显的形式才能通过临床血管造影检测到。功能意义归因于显示明显壁内走行的形态学形式以及那些表现出定量横截面变化的形式。除了冠状动脉肌桥病例中已知的形态学测量结果外，我们还发现壁内走行的动脉出现类似狭窄的变窄，而内膜无改变。我们在4例不同死因的病例中观察到了这种冠状动脉定量结果，在本文中我们讨论了这种特殊类型冠状动脉肌桥的可能功能意义。
