F Boeder Niklas, Nef Holger M, Bauer Timm
Department of Cardiology, University of Giessen, Klinikstrasse 33, 35392 Giessen, Germany.
Department of Cardiology, University of Giessen, Klinikstrasse 33, 35392 Giessen, Germany.
Cardiovasc Revasc Med. 2017 Apr-May;18(3):213-214. doi: 10.1016/j.carrev.2016.09.007. Epub 2016 Sep 30.
A 64-year old woman was referred to the division of cardiology due to recurrent angina pectoris (CCS III). The patient's symptoms and high cardiovascular risk profile were an indication for coronary angiography. Relevant coronary heart disease was hereby ruled out; however, angiography showed a direct drainage of coronary vessels into the chambers. These Thebesian veins are of venoluminal nature in most cases and have a clinical implication in selected cases only.
一名64岁女性因复发性心绞痛(加拿大心血管学会分级III级)被转诊至心脏病科。患者的症状和高心血管风险特征表明需要进行冠状动脉造影。据此排除了相关冠心病;然而,血管造影显示冠状动脉直接引流至心腔。这些心最小静脉在大多数情况下具有静脉腔性质,仅在特定情况下具有临床意义。