Kimbiris D, Lo E, Iskandrian A
William Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, PA 19102.
Cathet Cardiovasc Diagn. 1987 Nov-Dec;13(6):407-10. doi: 10.1002/ccd.1810130610.
We present our experience of percutaneous transluminal coronary angioplasty in two patients with an anomalous left circumflex coronary artery with severe stenosis. In the first case, the anomalous vessel originated from the first portion of the right coronary artery, and in the second case it originated from the right sinus of Valsalva. Cannulating the anomalous vessel with the guiding catheter can be difficult. The right Judkins-type catheter, with a posteriorly directed tip, is the most appropriate catheter for cannulating the anomalous circumflex artery when the vessel originates from the first portion of the right coronary artery, and the left Amplatz-type 1 is most appropriate when the vessel originates from the right sinus of Valsalva.
我们介绍了对两名患有严重狭窄的左旋支冠状动脉异常患者进行经皮腔内冠状动脉成形术的经验。在第一例中，异常血管起源于右冠状动脉的第一部分，在第二例中，它起源于主动脉窦右窦。使用引导导管插入异常血管可能很困难。当血管起源于右冠状动脉的第一部分时，尖端向后的右Judkins型导管是插入异常左旋支动脉最合适的导管，而当血管起源于主动脉窦右窦时，左Amplatz 1型导管最合适。
