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左冠状动脉前降支优势型的自发性冠状动脉夹层

Spontaneous Coronary Artery Dissection in Hyperdominant Left Anterior Coronary Descending Artery.

作者信息

Litkouhi Princess Neila, Bhat Aditya, Choong Christopher, Bhindi Ravinay

机构信息

Department of Cardiology, Royal North Shore Hospital, St. Leonards, Australia.

School of Medicine, University of Sydney, Camperdown, Australia.

出版信息

JACC Case Rep. 2024 May 16;29(12):102365. doi: 10.1016/j.jaccas.2024.102365. eCollection 2024 Jun 19.

DOI:10.1016/j.jaccas.2024.102365
PMID:38798916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11127511/
Abstract

A hyperdominant left anterior descending coronary artery variation is a rare but important diagnosis because of the risk for large-territory ischemia. We describe a very rare presentation of spontaneous coronary artery dissection in the distal portion of a hyperdominant left anterior descending coronary artery. No similar cases have been described.

摘要

一支优势极为明显的左前降支冠状动脉变异较为罕见，但却是一项重要的诊断，因为存在大面积缺血的风险。我们描述了一例发生在优势极为明显的左前降支冠状动脉远端的自发性冠状动脉夹层的非常罕见的病例。此前尚未有类似病例的报道。

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本文引用的文献

1
Hyper-dominance of the left anterior descending artery-a large territory.左前降支高度优势供血——大面积供血区域。
BJR Case Rep. 2020 Oct 22;7(1):20200069. doi: 10.1259/bjrcr.20200069. eCollection 2021 Feb 1.
2
Clinical impact of CT coronary angiography without exclusion of small coronary artery segments: a real-world and long-term study.未排除小冠状动脉节段的CT冠状动脉造影的临床影响：一项真实世界的长期研究。
Open Heart. 2020 May;7(1). doi: 10.1136/openhrt-2019-001222.
3
Spontaneous Coronary Artery Dissection: Clinical Outcomes and Risk of Recurrence.自发性冠状动脉夹层：临床转归和复发风险。
J Am Coll Cardiol. 2017 Aug 29;70(9):1148-1158. doi: 10.1016/j.jacc.2017.06.053.

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