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左冠状动脉前降支在主动脉和肺动脉干之间走行异常：静息性心肌缺血的罕见原因。

Anomalous course of the left anterior descending coronary artery between the aorta and pulmonary trunk: a rare cause of myocardial ischaemia at rest.

作者信息

Roynard J L, Cattan S, Artigou J Y, Desoutter P

机构信息

Service de Cardiologie, Hopital Avicenne, Bobigny, France.

出版信息

Br Heart J. 1994 Oct;72(4):397-9. doi: 10.1136/hrt.72.4.397.

DOI:10.1136/hrt.72.4.397
PMID:7833201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1025554/
Abstract

When the left anterior descending coronary artery follows an anomalous course between the aorta and pulmonary artery it can cause myocardial ischaemia or sudden death during exercise in young people. Coronary arteriography in a 27 year old man with angina pectoris at rest showed a left anterior descending coronary artery arising from a common right trunk and running from the aorta to the pulmonary artery. Follow up after revascularisation was uneventful.

摘要

当左前降支冠状动脉走行于主动脉和肺动脉之间的异常路径时，可导致年轻人在运动期间发生心肌缺血或猝死。一名27岁静息时患有心绞痛的男性患者，冠状动脉造影显示左前降支冠状动脉起源于一个共同的右主干，并从主动脉延伸至肺动脉。血运重建后的随访情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4ea/1025554/d2809fa93f07/brheartj00007-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4ea/1025554/f9301d8a82b7/brheartj00007-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4ea/1025554/d2809fa93f07/brheartj00007-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4ea/1025554/f9301d8a82b7/brheartj00007-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4ea/1025554/d2809fa93f07/brheartj00007-0090-a.jpg

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本文引用的文献

1
The mural left anterior descending coronary artery, strenuous exercise and sudden death.
Circulation. 1980 Aug;62(2):230-7. doi: 10.1161/01.cir.62.2.230.
2
Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, A not-so-minor congenital anomaly.猝死作为瓦尔萨尔瓦窦前窦左冠状动脉起源异常的一种并发症，一种并非轻微的先天性异常。
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Anomalous aortic origin of coronary arteries.冠状动脉异常起源于主动脉。
Circulation. 1978 Oct;58(4):606-15. doi: 10.1161/01.cir.58.4.606.