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一颗心之中还有一颗心。

A heart within a heart.

作者信息

Carreras Edward T, Barghash Maya, Givertz Michael M, Bhatt Deepak L

机构信息

Heart & Vascular Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

出版信息

Catheter Cardiovasc Interv. 2017 Jun 1;89(7):1239-1241. doi: 10.1002/ccd.26971. Epub 2017 Mar 14.

DOI:10.1002/ccd.26971
PMID:28296050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5567994/
Abstract

A 44-year-old man with a history of end-stage dilated cardiomyopathy status-post orthotopic cardiac transplant 14 years ago presented for coronary angiography in preparation for re-operative tricuspid valve replacement. Coronary angiography revealed an anomalous origin of the left coronary artery, with a common coronary trunk arising from the right coronary cusp and bifurcating into right and left main coronary arteries. Interestingly, the right and left coronary arteries coursed to form the shape of a heart, hence, a heart within a heart! © 2017 Wiley Periodicals, Inc.

摘要

一名44岁男性,有终末期扩张型心肌病病史,14年前接受原位心脏移植,此次因准备再次手术进行三尖瓣置换术而接受冠状动脉造影。冠状动脉造影显示左冠状动脉起源异常,共同冠状动脉主干发自右冠状动脉瓣叶,分为右冠状动脉和左冠状动脉主干。有趣的是,右冠状动脉和左冠状动脉走行形成了一个心脏的形状,因此,心中心!© 2017威利期刊公司。

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本文引用的文献

1
Anomalous coronary artery in a transplanted heart: a rare incidental diagnosis.
J Saudi Heart Assoc. 2016 Jan;28(1):46-8. doi: 10.1016/j.jsha.2015.06.001. Epub 2015 Jun 18.
2
Coronary artery anomalies: an entity in search of an identity.冠状动脉异常:一个寻求明确身份的实体。
Circulation. 2007 Mar 13;115(10):1296-305. doi: 10.1161/CIRCULATIONAHA.106.618082.
3
Anomalous coronary artery in a transplanted heart: a technical modification.
J Heart Lung Transplant. 2004 Aug;23(8):1008-9. doi: 10.1016/S1053-2498(03)00234-1.
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Anomalous coronary arteries.冠状动脉异常。
Cardiology. 1999;91(1):74. doi: 10.1159/000006882.
5
Anomalous origin of a coronary artery in a transplanted heart.
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