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双支右冠状动脉:来自巴基斯坦的一种非典型表现。

Dual right coronary artery: an unconventional presentation from Pakistan.

作者信息

Malik Jahanzeb, Javed Nismat

机构信息

Department of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan.

Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.

出版信息

Pan Afr Med J. 2020 Jul 28;36:221. doi: 10.11604/pamj.2020.36.221.21307. eCollection 2020.

DOI:10.11604/pamj.2020.36.221.21307
PMID:32963687
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7490145/
Abstract

There is a significant variation in the mapping of epicardial coronary arteries. This variation may present as different anomalies. These anomalies are usually asymptomatic and can be present at birth. Some might become symptomatic during adulthood and subsequently, result in sudden death. The anomalies, in turn, present a challenge to clinicians during therapeutic intervention. Therefore, there is a growing need to have knowledge about the various forms of the coronary artery anomalies. In our case report, we present the case of a patient who had one such anomaly and provide a hint at one strategy that was used to tackle the challenge.

摘要

心外膜冠状动脉的映射存在显著差异。这种差异可能表现为不同的异常情况。这些异常通常无症状,在出生时就可能存在。有些可能在成年期出现症状,随后导致猝死。这些异常反过来给临床医生的治疗干预带来了挑战。因此,越来越需要了解冠状动脉异常的各种形式。在我们的病例报告中,我们介绍了一名患有此类异常的患者的病例,并提供了一种应对挑战的策略提示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2c/7490145/72a9b66c52f8/PAMJ-36-221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2c/7490145/46d8d0d7eb3b/PAMJ-36-221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2c/7490145/d4c4f67b57c2/PAMJ-36-221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2c/7490145/72a9b66c52f8/PAMJ-36-221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2c/7490145/46d8d0d7eb3b/PAMJ-36-221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2c/7490145/d4c4f67b57c2/PAMJ-36-221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2c/7490145/72a9b66c52f8/PAMJ-36-221-g003.jpg

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本文引用的文献

1
Double Right Coronary Artery Originating from Separate Ostia: A Report of Two Cases.分别起源于不同开口的双右冠状动脉:两例报告。
N Am J Med Sci. 2015 Aug;7(8):371-3. doi: 10.4103/1947-2714.163646.
2
The distribution and prognosis of anomalous coronary arteries identified by cardiovascular magnetic resonance: 15 year experience from two tertiary centres.心血管磁共振识别的异常冠状动脉的分布和预后:两个三级中心的 15 年经验。
J Cardiovasc Magn Reson. 2014 May 20;16(1):34. doi: 10.1186/1532-429X-16-34.
3
The primary anomalies of coronary artery origin and course: A coronary angiographic analysis of 16,573 patients.
冠状动脉起源和走行的主要异常:16573例患者的冠状动脉造影分析
Exp Clin Cardiol. 2013 Spring;18(2):121-3.
4
An unusual appearance of double right coronary artery.双头右冠状动脉的异常表现。
Cardiol Res Pract. 2010 Sep 29;2010:123846. doi: 10.4061/2010/123846.
5
Double right coronary artery with acute inferior wall myocardial infarction.双右冠状动脉伴急性下壁心肌梗死。
J Invasive Cardiol. 2008 Feb;20(2):E37-40.
6
Double right coronary artery: report of two cases and review of the literature.双右冠状动脉:两例报告并文献复习
Int J Cardiol. 2008 Nov 12;130(2):e74-7. doi: 10.1016/j.ijcard.2007.11.073. Epub 2008 Jan 22.
7
An interesting diagnostic dilemma: double right coronary artery or high take off of a large right ventricular branch.一个有趣的诊断难题:双右冠状动脉或粗大右心室分支高位起源。
Int J Cardiol. 2002 Jan;82(1):99-102. doi: 10.1016/s0167-5273(01)00595-2.