双左前下垂动脉的一个新变体:VI-B型
Damandeep Singh1, Aprateem Mukherjee1, Sanjeev Kumar1
1Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, Room 10A, Ansari Nagar, New Delhi, 110029 India.
Indian journal of thoracic and cardiovascular surgery
|February 20, 2025
概括
在患有胸痛的患者中,使用计算机断层扫描冠状动脉扫描 (CTCA) 确定了一种罕见的双左前下降动脉 (LAD) 变体. 这种解剖学变异被提议为VI-B型,强调了CTCA.
科学领域:
- 心血管成像 - 心血管成像
- 解剖学变种 解剖学变种
- 干预心脏病学 干预心脏病学
背景情况:
- 胸痛是一种常见的症状,需要准确的诊断.
- 冠状动脉的解剖学变化可能会导致心血管事件的发生.
- 计算机断层扫描冠状动脉扫描 (CTCA) 是冠状动脉评估的关键成像方式.
研究的目的:
- 报告一种罕见的双左前下垂动脉 (LAD) 解剖的罕见变体.
- 为了说明CTCA在识别复杂冠状动脉异常方面的实用性.
- 建议对双 LAD 变体进行新的分类.
主要方法:
- 一个52岁的男性出现胸痛的病例报告.
- 使用计算机断层扫描冠状动脉造影 (CTCA) 对冠状动脉解剖学的详细分析.
- 审查现有关于双 LAD 变体的文献.
主要成果:
- 发现了一种罕见的双 LAD 变种 (建议的 VI-B 型).
- 这种变异的特点是长期LAD的异常起源和内肌心过程.
- 通常出现的较短的LAD起源于左侧的主要冠状动脉.
结论:
- CTCA对于诊断罕见的冠状动脉异常,如双 LAD 变体至关重要.
- 了解这种解剖学变异对于准确诊断和治疗胸痛至关重要.
- 这个案例扩大了已知的双 LAD 解剖学的范围.
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