双左前下降动脉:临床概述和干预性管理
Shahab Masoumi1,2, Ahmad Separham1, Razieh Parizad1,3
1Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
The journal of Tehran Heart Center
|August 28, 2023
概括
一个罕见的双左前下降动脉 (LAD) 异常在一个患有胸痛的患者身上被发现. 这一案例凸显了在干预期间识别供应心脏顶部的特定动脉的重要性.
科学领域:
- 心脏病学 心脏病学
- 解剖学的变化 解剖学的变化
背景情况:
- 先天性冠状动脉异常很少见,影响0.6%-1.3%的冠状动脉血管学患者.
- 双左前下降动脉 (LAD) 是一种独特的异常,在前腔室间中存在两个LAD.
研究的目的:
- 描述一种罕见的双 LAD 异常病例,呈现急性冠状动脉综合征.
- 强调与双 LAD 解剖学相关的诊断和干预挑战.
主要方法:
- 一个53岁的妇女的病例报告,胸部疼痛和ST升高.
- 诊断工作包括冠状动脉血管学,计算机断层扫描血管学和心声回声学.
- 对于狭窄的LAD,考虑进行皮肤冠状动脉干预.
主要成果:
- 冠状动脉扫描揭示了一种双重的LAD,其中包括血栓性损伤和主要LAD的99%狭窄.
- 异常涉及较短的LAD和较长的LAD,来自不同的冠状动脉尖端.
- 患者在一周的住院后成功管理并出院.
结论:
- 双 LAD 异常不常见,对这些血管的皮肤间干预并不常见.
- 准确识别供应心脏顶部的动脉对于成功管理双 LAD 异常至关重要.
- 这一案例强调了全面成像在诊断和治疗复杂的冠状动脉变异中的重要性.
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