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未进行人工瓣环缩窄的回旋支动脉异常走形患者的房室传导阻滞。

AVR in patients with anomalous course of the circumflex artery without prosthetic downsizing.

机构信息

Cardio-Thoraco-Vascular Department, Cardiac-Surgery Unit, S. Orsola Hospital, Bologna, Italy.

出版信息

J Card Surg. 2020 Nov;35(11):3125-3127. doi: 10.1111/jocs.14927. Epub 2020 Aug 2.

DOI:10.1111/jocs.14927
PMID:32741015
Abstract

An anomalous origin of the left circumflex coronary artery that arises as a side branch of the right coronary artery and encircles the aortic annulus is usually an incidental finding. However, in patients undergoing aortic valve/root procedures, its existence can significantly complicate the surgical treatment. We report our operative strategy with three different prostheses without valve downsizing.

摘要

左旋支冠状动脉异常起源于右冠状动脉的侧支，并环绕主动脉瓣环，通常是偶然发现的。然而，在接受主动脉瓣/根部手术的患者中，它的存在会显著增加手术治疗的复杂性。我们报告了使用三种不同的假体而不进行瓣膜缩小的手术策略。

相似文献

1
AVR in patients with anomalous course of the circumflex artery without prosthetic downsizing.未进行人工瓣环缩窄的回旋支动脉异常走形患者的房室传导阻滞。
J Card Surg. 2020 Nov;35(11):3125-3127. doi: 10.1111/jocs.14927. Epub 2020 Aug 2.
2
Aortic valve/root procedures in patients with an anomalous left circumflex coronary artery and a bicuspid aortic valve: anatomical and technical implications.左回旋支冠状动脉异常合并二叶式主动脉瓣患者的主动脉瓣/根部手术：解剖学及技术要点
Interact Cardiovasc Thorac Surg. 2015 Jul;21(1):114-6. doi: 10.1093/icvts/ivv063. Epub 2015 Mar 27.
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Incidental finding of anomalous circumflex coronary artery from right coronary sinus prior to aortic valve surgery.主动脉瓣手术前偶然发现右冠状动脉窦发出异常回旋支冠状动脉。
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Aortic valve-sparing operations: dealing with the coronary artery that is too close to the aortic annulus.保留主动脉瓣手术：处理距离主动脉瓣环过近的冠状动脉。
Ann Thorac Surg. 2009 Sep;88(3):1026-8. doi: 10.1016/j.athoracsur.2008.10.074.
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Management of anomalous left circumflex artery encircling the aortic annulus in a patient undergoing multivalvular surgery.多瓣膜手术患者中环绕主动脉瓣环的异常左旋支动脉的处理
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Aortic valve replacement in patients with an anomalous left circumflex artery: technical considerations.左回旋支动脉异常患者的主动脉瓣置换术：技术要点
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Valve-sparing aortic root replacement in a patient with retroaortic course of the left circumflex artery.左旋支动脉走行于主动脉后方的患者行保留瓣膜的主动脉根部置换术。
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引用本文的文献

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Surgical management of a patient with anomalous origin of the left circumflex coronary artery undergoing aortic and mitral valve surgery.一名左旋支冠状动脉起源异常患者在接受主动脉和二尖瓣手术时的外科治疗。
Gen Thorac Cardiovasc Surg Cases. 2025 Jul 15;4(1):32. doi: 10.1186/s44215-025-00215-4.
2
Rapid Deployment Aortic Valve Replacement: Valve of Choice in Patients With a Left Circumflex Anomaly?快速部署主动脉瓣置换术：左旋支异常患者的首选瓣膜？
Ann Thorac Surg Short Rep. 2024 Dec 17;3(2):420-423. doi: 10.1016/j.atssr.2024.11.015. eCollection 2025 Jun.
3
Anomalous left circumflex artery origin in aortic root surgery.
主动脉根部手术中左旋支动脉起源异常。
Indian J Thorac Cardiovasc Surg. 2025 Mar;41(3):343-345. doi: 10.1007/s12055-024-01808-4. Epub 2024 Aug 26.