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[心脏钙化。I. 钙化物质导致的自发性冠状动脉栓塞]

[Calcification in the heart. I. Spontaneous coronary embolism due to calcified material].

作者信息

Steiner I

出版信息

Cesk Patol. 1985 May;21(2):87-95.

PMID:4017034
Abstract

Thirty-one hearts with advanced calcification of one or both left heart valves were investigated for the presence of spontaneous "calcific" emboli. X-ray (mammography) showed coronary emboli in 14 cases, that is in 45% of the whole series. A total of 265 "calcific" emboli (205 intracoronary and 60 in the left ventricular cavity) was demonstrated. The embolisation occurred most frequently and most extensively in association with postrheumatic mitral valve disease. Coronary "calcific" embolisation must be considered in the differential diagnosis of symptoms of ischemic heart disease in patients suffering from valvular heart lesions.

摘要

对31例存在一个或两个左心瓣膜严重钙化的心脏进行了研究,以确定是否存在自发性“钙化性”栓子。X线(乳房X线摄影)检查显示14例存在冠状动脉栓子,占整个系列病例的45%。共发现265个“钙化性”栓子(205个在冠状动脉内,60个在左心室腔)。栓塞最常发生且范围最广的情况与风湿性二尖瓣疾病相关。对于患有心脏瓣膜病变的患者,在缺血性心脏病症状的鉴别诊断中必须考虑冠状动脉“钙化性”栓塞。

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