|本期目录/Table of Contents|

[1]武英彪 罗俊 方明 田蓓 方钞 吴启源 朱洛宁 宁忠平.右冠状动脉起源于左冠状动脉窦走形于主肺动脉间的临床特点[J].国际心血管病杂志,2018,04:229-232.
　WU Yingbiao,LUO Jun,FANG Ming,et al.Clinical characteristics of patients with anomalous origin of right coronary artery from aorta[J].International Journal of Cardiovascular Disease,2018,04:229-232.
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右冠状动脉起源于左冠状动脉窦走形于主肺动脉间的临床特点(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2018年04期
页码:
229-232
栏目:
临床研究
出版日期:
2018-07-25

文章信息/Info

Title:
Clinical characteristics of patients with anomalous origin of right coronary artery from aorta
作者:
武英彪 罗俊 方明 田蓓 方钞 吴启源 朱洛宁 宁忠平
Author(s):
WU Yingbiao1;  LUO Jun1;  FANG Ming1;  TIAN Bei1;  FANG Chao1;  WU Qiyuan2;  ZHU Luoning1;  NING Zhongping1
Department of Cardiology; 2.Department of Radiology, Shanghai Pudong New District Zhoupu Hospital, Shanghai 201318, China
关键词:
血管畸形;  冠状动脉;  左冠状动脉窦
Keywords:
Vascular malformation;  Coronary artery;  Left coronary sinus
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2018.04.010
文献标识码:
-
摘要:
目的:分析右冠状动脉起源于左冠状动脉窦(左冠窦)且走形于主肺动脉间的临床特点。方法:纳入2014年4月至2016年12月在浦东新区周浦医院进行双源CT冠状动脉成像和冠状动脉造影,确诊为右冠状动脉起源于左冠窦且走形于主肺动脉间的患者共32例,对其临床特点进行回顾性分析。结果:CT显示冠状动脉近段与主动脉壁夹角为5°～29°,平均夹角为14.19°±4.66°; 32例患者中,冠脉造影显示右优势型者23例(71.87%),同侧冠状动脉粥样硬化18例(56.25%); 血管内超声显示患者右冠状动脉平
Abstract:
Objective:The study aims to analyze the clinical characteristics of patients with anomalous origin of right coronary artery from aorta(ARCA-A)in Zhoupu Hospital from Apr. 2014 to Sep. 2016 during coronary intervention procedure.Methods:Thirty-two angiogr

参考文献/References


[1] Liberthson RR. Sudden death from cardiac causes in children and young adults[J]. N Engl J Med, 1996, 334(16):1039-1044.
[2] Maron BJ, Roberts WC, McAllister H, et al. Sudden death in young athletes[J]. Circulation, 1980, 62(2):218-229.
[3] Maron BJ, Shirani J, Poliac LC, et al. Sudden death in young competitive athletes——Clinical, demographic, and pathological profiles[J]. JAMA, 1996, 276(3):199-204.
[4] Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies[J]. J Am Coll Cardiol, 1992, 20(3):640-647
[5] Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography[J]. Cathet Cardiovasc Diagn, 1990, 21(1):28-40.
[6] Yildiz A, Okcun B, Peker T, et al. Prevalence of coronary artery anomalies in 12,457 adult patients who underwent coronary angiography[J]. Clin Cardiol, 2010, 33(12):E60-E64.
[7] Yamanaka O, Hobbs RE. Solitary ostial coronary artery stenosis[J]. Jpn Circ J, 1993, 57(5):404-410.
[8] Datta J, White CS, Gilkeson RC, et al. Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography[J]. Radiology, 2005, 235(3):812-818.
[9] Ruhela M, Chaturvedi N, Shekhawat DS. Left coronary artery originating from right coronary sinus-a rare coronary artery anomaly[J]. Am J Med Case Rep, 2015, 3(1):1-3.
[10] Saffitz JE. The pathology of sudden cardiac death in patients with ischemic heart disease—arrhythmology for anatomic pathologists[J]. Cardiovasc Pathol, 2005, 14(4):195-203.
[11] Burke AP, Farb A, Virmani R, et al. Sports-related and non-sports-related sudden cardiac death in young adults[J]. Am Heart J, 1991, 121(2Pt1):568-575.
[12] Roberts WC, Shirani J. The four subtypes of anomalous origin of the left main coronary artery from the right aortic sinus(or from the right coronary artery)[J]. Am J Cardiol, 1992, 70(1):119-121.
[13] Basso C, Maron BJ, Corrado D, et al. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes[J]. J Am Coll Cardiol, 2000, 35(6):1493-1501.
[14] Barner HB. Double internal mammary-coronary artery bypass[J]. Arch Surg, 1974, 109(5):627-630.
[15] MS Alexander, Baue AE. Early and late results of coronary revascularization with saphenous vein and internal mammary artery grafts[J]. Am J Surg, 1979, 137(4):456-463.
[16] Hashimoto H, Isshiki T, Ikari Y, et al. Effects of competitive blood flow on arterial graft patency and diameter. Medium-term postoperative follow-up[J]. J Thorac Cardiovasc Surg, 1996, 111(2):399-407.
[17] Sabik JF, Lytle BW, Blackstone EH, et al. Does competitive flow reduce internal thoracic artery graft patency?[J]. Ann Thorac Surg, 2003, 76(5):1490-1496.
[18] Frommelt PC, Frommelt MA, Tweddell JS, et al. Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course[J]. J Am Coll Cardiol, 2003, 42(1):148-154.
[19] García-Rinaldi R, Sosa J, Olmeda S, et al. Surgical treatment of right coronary arteries with anomalous origin and slit ostium[J]. Ann Thorac Surg, 2004, 77(5):1525-1529.
[20] Nelson-Piercy C, Rickards AF, Yacoub MH. Aberrant origin of the right coronary artery as a potential cause of sudden death: successful anatomical correction[J]. Br Heart J, 1990, 64(3):208-210.
[21] Van Son JA, Haas GS. Anomalous origin of left main coronary artery from right sinus of Valsalva: modified surgical treatment to avoid neo-coronary ostial stenosis[J]. Eur J Cardiothorac Surg, 1996, 10(6):467-469.

备注/Memo

备注/Memo:
基金项目:浦东新区卫计委优青人才培养(PWRq2015-25); 上海市医学重点专科建设(ZK2015A13)
作者单位:201318 上海,浦东新区周浦医院心内科(武英彪,罗俊,方明,田蓓,方钞,朱洛宁,宁忠平),放射科(吴启源)
通信作者:宁忠平,Email:ningzhongping88@163.com
更新日期/Last Update: 2018-07-30