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冠状动脉-左心室交通:两例报告并文献复习

Coronary artery-left ventricular communications: a report of two cases and review of the literature.

作者信息

Vogelbach K H, Edmiston W A, Stenson R E

出版信息

Cathet Cardiovasc Diagn. 1979;5(2):159-67. doi: 10.1002/ccd.1810050210.

Abstract

Two patients with chest pain had angiographically-demonstrated communications between the three coronary arteries and the left ventricular chamber. Communications between coronary arteries and the left ventricle are unusual and communications between all three coronary arteries and the left ventricle are rare. These anomalies are, however, commonly associated with symptoms of chest pain. The presence of left ventricular hypertrophy and a widened pulse pressure may suggest a greater hemodynamic effect of the shunt flow than often suspected angiographically.

摘要

两名胸痛患者经血管造影证实三条冠状动脉与左心室腔之间存在交通。冠状动脉与左心室之间的交通并不常见,而三条冠状动脉与左心室之间均存在交通则更为罕见。然而,这些异常通常与胸痛症状相关。左心室肥厚和脉压增宽的存在可能提示分流的血流动力学效应比血管造影通常怀疑的更大。

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