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左冠状动脉主干闭塞。5例患者报告及已发表报告综述。

Occluded left main stem coronary artery. Report of five patients and review of published reports.

作者信息

Ward D E, Valantine H, Hui W

出版信息

Br Heart J. 1983 Mar;49(3):276-9. doi: 10.1136/hrt.49.3.276.

DOI:10.1136/hrt.49.3.276
PMID:6830663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481299/
Abstract

Five patients aged 24 to 62 years presenting with a long history of angina were found to have complete occlusion of the left main coronary artery. In one patient the right coronary artery was also completely blocked. All patients had a dominant right coronary artery which was significantly diseased in only one patient. Ventricular function was severely impaired in only one patient. These patients illustrate the importance of collateral information in this condition. Coronary bypass grafting was performed in three patients who are now symptomatic at follow-up between nine and 17 months.

摘要

五名年龄在24至62岁之间、有长期心绞痛病史的患者被发现左主冠状动脉完全闭塞。其中一名患者的右冠状动脉也完全堵塞。所有患者的右冠状动脉均占优势,仅一名患者的右冠状动脉有明显病变。仅一名患者的心室功能严重受损。这些患者说明了这种情况下侧支循环信息的重要性。三名患者接受了冠状动脉搭桥手术,在9至17个月的随访中均有症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688d/481299/f47f0c774721/brheartj00135-0077-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688d/481299/494d8ce0dee0/brheartj00135-0077-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688d/481299/f47f0c774721/brheartj00135-0077-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688d/481299/494d8ce0dee0/brheartj00135-0077-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688d/481299/f47f0c774721/brheartj00135-0077-b.jpg

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本文引用的文献

1
Total occlusion of the left main coronary artery: report of seven cases from 5312 cardiac catheterizations and review of the literature.左冠状动脉主干完全闭塞:5312例心导管检查中的7例报告及文献复习
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Coronary collaterals and left ventricular function early after acute transmural myocardial infarction.急性透壁性心肌梗死后早期的冠状动脉侧支循环与左心室功能
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Circulation. 1974 Oct;50(4):831-7. doi: 10.1161/01.cir.50.4.831.
8
The effect of collateral circulation on segmental left ventricular contraction.侧支循环对左心室节段性收缩的影响。
Circulation. 1974 Oct;50(4):709-13. doi: 10.1161/01.cir.50.4.709.
9
Atherosclerotic narrowing of the left main coronary artery. A necropsy analysis of 152 patients with fatal coronary heart disease and varying degrees of left main narrowing.左冠状动脉主干的动脉粥样硬化性狭窄。对152例死于冠心病且左主干狭窄程度各异的患者进行的尸检分析。
Circulation. 1976 May;53(5):823-8. doi: 10.1161/01.cir.53.5.823.
10
Total occlusion of left coronary artery. Incidence and management.左冠状动脉完全闭塞。发病率及处理
J Thorac Cardiovasc Surg. 1979 Mar;77(3):389-91.