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Severe form of persistent thebesian veins presenting as ischemic heart disease.表现为缺血性心脏病的严重型持久性冠状静脉窦。
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Angiographically detectable Thebesian veins are a dynamic and reversible finding in the setting of congenital heart disease.血管造影可检测到的Thebesian静脉是先天性心脏病情况下的一种动态且可逆的表现。
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Response by Kim et al. to Letter regarding article, "Prominent Thebesian veins, a rare congenital coronary anomaly presenting as acute myocardial ischemia".金等人对关于“显著的Thebesian静脉，一种表现为急性心肌缺血的罕见先天性冠状动脉异常”一文的信件的回复。
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The detection of myocardial ischemia by thallium-201 myocardial scintigraphy in patients with multiple coronary arterioventricular connections.
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引用本文的文献

1
Congenital Anomaly Diagnosis of Typical Cardiac Chest Pain Due to Thebesian Veins Draining Into the Left Ventricular Chamber: A Case Report and Review of Literature.心最小静脉汇入左心室导致典型心源性胸痛的先天性异常诊断：一例报告并文献复习
Cureus. 2024 Apr 25;16(4):e59002. doi: 10.7759/cureus.59002. eCollection 2024 Apr.
2
Abnormally Enlarged Singular Thebesian Vein in Right Atrium.右心房内奇静脉异常增粗。
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Another Mention of Thebesian Veins in the Heart: Should It Be the Last?心脏中Thebesian静脉的再一次提及：这会是最后一次吗？
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The vessels of Wearn include the arterioluminal and arteriosinusoidal vessels and they are not Thebesian veins.韦恩氏血管包括小动脉腔血管和动脉血窦血管，它们并非心最小静脉。
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5
Response by Kim et al. to Letter regarding article, "Prominent Thebesian veins, a rare congenital coronary anomaly presenting as acute myocardial ischemia".金等人对关于“显著的Thebesian静脉，一种表现为急性心肌缺血的罕见先天性冠状动脉异常”一文的信件的回复。
J Cardiol Cases. 2020 Jun 30;22(3):147-148. doi: 10.1016/j.jccase.2020.05.023. eCollection 2020 Sep.

本文引用的文献

1
A significant 'coronary steal' by thebesian veins, a rare congenital coronary defect masquerading as acute coronary syndrome.心最小静脉显著的“冠状动脉窃血”，一种伪装成急性冠脉综合征的罕见先天性冠状动脉缺陷。
BMJ Case Rep. 2015 Mar 27;2015:bcr2014208880. doi: 10.1136/bcr-2014-208880.
2
Severe form of persistent thebesian veins presenting as ischemic heart disease.表现为缺血性心脏病的严重型持久性冠状静脉窦。
Korean Circ J. 2012 Oct;42(10):714-7. doi: 10.4070/kcj.2012.42.10.714. Epub 2012 Oct 31.
3
Images in cardiovascular medicine. Persistent thebesian sinusoids presenting as ischemic heart disease.心血管医学影像。表现为缺血性心脏病的持续性Thebesian窦状隙
Circulation. 2008 Apr 22;117(16):e315-6. doi: 10.1161/CIRCULATIONAHA.107.748863.
4
Images in cardiovascular medicine. Multiple coronary fistulae: a cause of subendocardial ischemia.心血管医学影像。多发性冠状动脉瘘：心内膜下缺血的一个原因。
Circulation. 2008 Feb 12;117(6):853-6. doi: 10.1161/CIRCULATIONAHA.107.725515.
5
Multiple coronary artery-left ventricular microfistulae in a patient with apical hypertrophic cardiomyopathy: a demonstration by transthoracic color Doppler echocardiography.一名肥厚型心肌病患者的多处冠状动脉-左心室微瘘：经胸彩色多普勒超声心动图的显示
Yonsei Med J. 2003 Aug 30;44(4):710-4. doi: 10.3349/ymj.2003.44.4.710.
6
Multiple coronary artery-left ventricular fistulas associated with hereditary hemorrhagic telangiectasia.与遗传性出血性毛细血管扩张症相关的多发性冠状动脉-左心室瘘
Chest. 2001 Oct;120(4):1415-7. doi: 10.1378/chest.120.4.1415.
7
Anatomy and clinical significance of ventricular Thebesian veins.心室最小静脉的解剖结构及临床意义。
Clin Anat. 2001;14(2):102-10. doi: 10.1002/1098-2353(200103)14:2<102::AID-CA1018>3.0.CO;2-4.
8
Coronary artery anomalies in 126,595 patients undergoing coronary arteriography.126595例行冠状动脉造影患者的冠状动脉异常情况
Cathet Cardiovasc Diagn. 1990 Sep;21(1):28-40. doi: 10.1002/ccd.1810210110.

显著的Thebesian静脉，一种表现为急性心肌缺血的罕见先天性冠状动脉异常。

Prominent Thebesian veins, a rare congenital coronary anomaly presenting as acute myocardial ischemia.

作者信息

Kim Seong Geun, Kim Hyoeun, Cho Sung Woo, Kim Byung Gyu

机构信息

Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Seoul Paik Hospital, Seoul, Republic of Korea.

Department of Health Promotion, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.

出版信息

J Cardiol Cases. 2019 Dec 5;21(4):127-129. doi: 10.1016/j.jccase.2019.11.007. eCollection 2020 Apr.

DOI:10.1016/j.jccase.2019.11.007
PMID:32256858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7125364/
Abstract

Persistent Thebesian veins with the appearance of multiple coronary artery microfistulas are a rare finding and little is known about their physiologic and clinical features. In addition, few reports have demonstrated the perfusion status of patients with Thebesian veins. We report a 75-year-old woman referred for non-ST-elevation myocardial infarction due to prominent Thebesian veins who displayed a perfusion defect in cardiac magnetic resonance imaging. < This case emphasizes that non-obstructive coronary arterial anomaly can lead to myocardial ischemia with angina symptoms and cardiac enzyme rise. Moreover, it provided the typical angiographic appearance of Thebesian vein network and image of myocardial perfusion defect induced by coronary steal.>.

摘要

持续存在的Thebesian静脉呈现出多条冠状动脉微瘘的表现，这是一种罕见的发现，人们对其生理和临床特征知之甚少。此外，很少有报告展示过Thebesian静脉患者的灌注状态。我们报告了一名75岁女性，因突出的Thebesian静脉被转诊至非ST段抬高型心肌梗死，其心脏磁共振成像显示有灌注缺损。<此病例强调非阻塞性冠状动脉异常可导致心肌缺血，并伴有心绞痛症状和心肌酶升高。此外，它还提供了Thebesian静脉网络的典型血管造影表现以及冠状动脉窃血所致心肌灌注缺损的图像。>