Ilia R
Cardiology Division, Soroka Medical Center, Beer Sheva, Israel.
Cathet Cardiovasc Diagn. 1995 May;35(1):36-41. doi: 10.1002/ccd.1810350107.
Coronary angioplasty to diseased anomalous coronary arteries is being more readily applied in revascularization of these vessels. Several cases of angioplasty have been described in various coronary anomalies. Probably more attempts of PTCA to anomalous coronary arteries are performed but not reported. For this reason, we cannot assume that the success rate is the same as in "normal" origin arteries or which complications occurred, including the need for coronary bypass. Although not yet reported, in some instances other techniques, such as laser atherectomy and coronary stents, may be applied, provided the artery is not tortuous, as it may be in some anomalous coronaries. The key to a successful procedure depends on angiographic knowledge of their course and appropriate equipment selection.
冠状动脉成形术应用于病变异常冠状动脉的血管重建越来越普遍。各种冠状动脉异常中均有冠状动脉成形术的病例报道。可能有更多针对异常冠状动脉进行经皮冠状动脉腔内血管成形术（PTCA）的尝试，但未被报道。因此，我们无法确定其成功率是否与“正常”起源的动脉相同，也不清楚会发生哪些并发症，包括是否需要冠状动脉搭桥术。尽管尚未见报道，但在某些情况下，如果动脉不迂曲（某些异常冠状动脉可能存在迂曲情况），也可应用其他技术，如激光斑块旋切术和冠状动脉支架。手术成功的关键取决于对其走行的血管造影了解以及合适的设备选择。
