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[变异型心绞痛。手术中冠状动脉标本的组织学研究。附2例报告]

[Prinzmetal's angina. Histological study of peroperative coronary specimens. Apropos of 2 cases].

作者信息

Guermonprez J L, Guéret P, Camilleri J P, Guérinon J, Deloche A, Maurice P

出版信息

Arch Mal Coeur Vaiss. 1977 Mar;70(3):301-8.

PMID:404989
Abstract

The results of histological examination of two coronary artery biopsy specimens removed at operation are presented. There were unusual findings, especially of a highly cellular and oedematous fibroblastic endarteritis, of the lack of calcification, and of the presence of marked medial sclerosis. These unusual histological findings are the result of solitary variable stenoses of the coronary arterial tree, and very different from the histological findings in the atheromatous lesions which are usually found when Prinzmetal's angina is super-imposed on lesions which are multiple and diffuse.

摘要

本文展示了手术中取出的两份冠状动脉活检标本的组织学检查结果。发现了一些异常情况,尤其是高度细胞化和水肿性的成纤维细胞性动脉内膜炎、缺乏钙化以及存在明显的中层硬化。这些异常的组织学发现是冠状动脉树孤立性可变狭窄的结果,与通常在普林兹金属心绞痛叠加于多发和弥漫性病变时发现的动脉粥样硬化病变的组织学发现非常不同。

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