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与先天性主动脉瓣疾病相关的冠状动脉阻塞。

Coronary artery obstruction associated with congenital aortic valve disease.

作者信息

Gibbs J L, Davies J, Qureshi S A

出版信息

Br Heart J. 1984 Nov;52(5):585-7. doi: 10.1136/hrt.52.5.585.

DOI:10.1136/hrt.52.5.585
PMID:6498037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481685/
Abstract

Abnormal attachment of the aortic valve caused obstruction to left coronary arterial flow in a young girl, who presented with angina of effort. Aortic valve and root replacement resulted in the patient's effort tolerance returning to normal with resolution of the exercise electrocardiographic and angiographic abnormalities. This case emphasises the importance of an awareness of the existence of such defects and their amenability to surgical correction.

摘要

一名年轻女孩因主动脉瓣异常附着导致左冠状动脉血流受阻,出现劳力性心绞痛。主动脉瓣和根部置换术后,患者的运动耐量恢复正常,运动心电图和血管造影异常也得以缓解。该病例强调了认识此类缺陷的存在及其可通过手术矫正的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/481685/b48c76f88325/brheartj00131-0118-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/481685/b48c76f88325/brheartj00131-0118-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/481685/b48c76f88325/brheartj00131-0118-a.jpg

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Coronary artery obstruction associated with congenital aortic valve disease.与先天性主动脉瓣疾病相关的冠状动脉阻塞。
Br Heart J. 1984 Nov;52(5):585-7. doi: 10.1136/hrt.52.5.585.
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本文引用的文献

1
Supravalvular stenosis of the aorta.主动脉瓣上狭窄
Ann Surg. 1959 Apr;149(4):519-24. doi: 10.1097/00000658-195904000-00011.
2
Congenital coronary artery obstruction associated with aortic anomalies in children: report of two cases.儿童先天性冠状动脉阻塞合并主动脉异常:两例报告。
Circulation. 1981 Oct;64(4):857-61. doi: 10.1161/01.cir.64.4.857.
3
The use of "fresh" unstented homograft valves for replacement of the aortic valve: analysis of 6 1/2 years experience.使用“新鲜”无支架同种异体移植瓣膜置换主动脉瓣:6年半经验分析。
Circulation. 1977 Nov;56(5):837-41. doi: 10.1161/01.cir.56.5.837.
4
Congenital aortic valve anomaly. Aortic regurgitation with left coronary artery isolation.先天性主动脉瓣异常。伴有左冠状动脉孤立的主动脉瓣关闭不全。
J Thorac Cardiovasc Surg. 1979 Apr;77(4):533-5.