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心腔内右冠状动脉——仅仅是包裹?一组心脏 CT 影像学系列。

Intracavitary right coronary artery - Or just a wrap? A cardiac CT imaging series.

机构信息

Dept. Cardiac Surgery, Innsbruck Medical University, Austria.

Dept. Cardiology, Innsbruck Medical University, Austria.

出版信息

J Cardiovasc Comput Tomogr. 2020 Jul-Aug;14(4):370-373. doi: 10.1016/j.jcct.2019.04.001. Epub 2019 Apr 24.

Abstract

Intracavitary right coronary artery (RCA) is a very rare anomaly occurring in less than 0.1% and up to 0.4% reported by coronary computed tomography angiography (CTA). Literature is scarce, however its recognition is crucial, especially prior to surgical or interventional procedures such as coronary artery bypass graft (CABG) surgery, right heart catheterization or device implantation: Hereby the RCA is at risk of injury with fatal bleeding, or suturing a CABG anastomosis may be difficult or impossible.

摘要

心腔内部的右冠状动脉(RCA)是一种非常罕见的异常,据冠状动脉计算机断层血管造影(CTA)报道,其发生率低于 0.1%,但高达 0.4%。然而,其发病率虽然较低,但其识别却至关重要,尤其是在进行冠状动脉旁路移植术(CABG)、右心导管检查或器械植入等外科或介入手术之前:在此情况下,RCA 有损伤并导致致命性出血的风险,或者 CABG 吻合口的缝合可能会变得困难或不可能。

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