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发自右主动脉窦的左冠状动脉主干的间隔走行与室性心动过速

Septal course of the left main coronary artery from right aortic sinus and ventricular tachycardia.

作者信息

Kothari S S, Talwar K K, Venugopal P

机构信息

Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi.

出版信息

Int J Cardiol. 1998 Sep 30;66(2):207-9. doi: 10.1016/s0167-5273(98)00218-6.

DOI:10.1016/s0167-5273(98)00218-6
PMID:9829337
Abstract

A 42-year-old man with resistant ventricular tachycardia was found to have an anomalous origin of the left main coronary artery from the right aortic sinus that pursued an intramyocardial course through the ventricular septum. The tachycardia resolved after coronary artery bypass graft to otherwise normal left anterior descending and circumflex coronary arteries. Septal course of an anomalous left main coronary artery from right aortic sinus should not always be considered benign.

摘要

一名42岁患有顽固性室性心动过速的男性被发现左主冠状动脉起源异常,发自右主动脉窦,并穿间隔走行于心肌内。在对原本正常的左前降支和左旋支冠状动脉进行冠状动脉搭桥术后,室性心动过速得到缓解。右主动脉窦发出的左主冠状动脉穿间隔走行并不总是被认为是良性的。

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引用本文的文献

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Interv Cardiol. 2019 May 21;14(2):83-88. doi: 10.15420/icr.2019.1.1. eCollection 2019 May.
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Transseptal course of anomalous left main coronary artery originating from single right coronary orifice presenting as unstable angina.起源于单一右冠状动脉开口的异常左主冠状动脉经房间隔走行并表现为不稳定型心绞痛。
Radiol Case Rep. 2018 Mar 6;13(3):549-554. doi: 10.1016/j.radcr.2018.02.009. eCollection 2018 Jun.
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Aortic valve replacement for a patient with anomalous left coronary artery from the right sinus of Valsalva.
为一名患有源自瓦尔萨尔瓦右窦的异常左冠状动脉的患者进行主动脉瓣置换术。
Gen Thorac Cardiovasc Surg. 2013 Jan;61(1):46-50. doi: 10.1007/s11748-012-0101-8. Epub 2012 May 23.
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Unusual congenital coronary anomaly and myocardial ischaemia.罕见的先天性冠状动脉异常与心肌缺血。
Heart. 1999 Nov;82(5):e7. doi: 10.1136/hrt.82.5.e7.