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三支冠状动脉均起源于单一开口：一例罕见病例报告。

Origin of all Three Coronaries from Single Ostium: A Rare Case Report.

作者信息

Deora Surender, Sharma Jai Bharat, Kaushik Atul, Choudhary Rahul

机构信息

Department of Cardiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

Heart Views. 2023 Jan-Mar;24(1):59-62. doi: 10.4103/heartviews.heartviews_81_22. Epub 2023 Feb 23.

DOI:10.4103/heartviews.heartviews_81_22
PMID:37124435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10144412/
Abstract

Origin of coronary arteries from the opposite sinus of Valsalva is rare and origin from a single ostium is extremely rare. Patients with these anomalies may have myocardial ischemia because of altered ostial configuration, exit angulation from the aorta, the course between great arteries, and atherosclerosis. Usually, these anomalies are diagnosed during coronary angiography either by computed tomography or catheter-based. Management depends upon the coronary anomaly and associated clinical condition.

摘要

冠状动脉起源于对侧瓦尔萨尔瓦窦很罕见，起源于单一开口则极为罕见。患有这些异常的患者可能因开口形态改变、主动脉出口角度、大动脉之间的走行以及动脉粥样硬化而出现心肌缺血。通常，这些异常通过计算机断层扫描或基于导管的冠状动脉造影来诊断。治疗取决于冠状动脉异常情况及相关临床状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b9/10144412/d375e3b3664d/HV-24-59-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b9/10144412/ca67fd2d6d18/HV-24-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b9/10144412/be2948f77d79/HV-24-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b9/10144412/d375e3b3664d/HV-24-59-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b9/10144412/ca67fd2d6d18/HV-24-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b9/10144412/be2948f77d79/HV-24-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b9/10144412/d375e3b3664d/HV-24-59-g003.jpg

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本文引用的文献

1
A single, shared origin for all three coronary arteries from the right coronary cusp: a case report.三枚冠状动脉均发自右冠状动脉窦的单一共同开口：一例报告。
J Med Case Rep. 2020 Jul 10;14(1):94. doi: 10.1186/s13256-020-02422-9.
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Origin of all three coronaries separately from right sinus of valsalva - A rare anomaly.所有三支冠状动脉均分别起源于主动脉窦右窦——一种罕见的异常情况。
J Cardiol Cases. 2012 Oct 6;7(1):e18-e20. doi: 10.1016/j.jccase.2012.09.005. eCollection 2013 Jan.
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