双重左前下降动脉和分裂右冠状动脉的独特共存
Damandeep Singh1, Niraj Nirmal Pandey1, Neha Chopra2
1Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi-110029, India.
Methodist DeBakey cardiovascular journal
|November 3, 2025
概括
一个罕见的双重左前下降动脉和右冠状动脉分裂的病例在一个患有强迫性心痛的患者中被发现. 电心电图带动的冠状动脉计算机断层扫描血管造影 (CCTA) 对于诊断这些罕见的冠状动脉变体至关重要.
科学领域:
- 心血管成像 - 心血管成像
- 解剖学的变化 解剖学的变化
- 干预心脏病学 干预心脏病学
背景情况:
- 冠状动脉异常不常见,但可能导致显著的临床并发症.
- 准确的解剖划线对于安全有效的心脏干预至关重要.
- 双左前下垂动脉和右冠状动脉分裂是罕见的先天性变异.
研究的目的:
- 报告一个独特的情况,共存的双左前沿下降动脉和右冠状动脉分裂.
- 突出电心电图带入的冠状动脉计算机断层扫描血管学 (CCTA) 在识别罕见冠状动脉异常方面的诊断实用性.
- 强调这些变体在患者管理中的临床影响.
主要方法:
- 评估了一名50岁的男性患者,他患有疲劳性心肌痛.
- 用心电图进行冠状动脉计算机断层扫描血管造影 (CCTA) 进行了详细的冠状动脉评估.
- 解剖学发现被分析为罕见的冠状动脉变体.
主要成果:
- CCTA揭示了IV型双左前下垂动脉和右冠状动脉分裂的共存.
- 这位患者在炼时出现了III级心痛.
- 这些发现强调了复杂的冠状动脉解剖学的存在.
结论:
- 电心电图的CCTA在可视化罕见的冠状动脉解剖变异方面非常有效.
- 准确诊断此类异常至关重要,以防止误诊和潜在的程序并发症.
- 这一案例强调了在临床实践中识别和理解罕见冠状动脉变异的重要性.
更多相关视频
相关概念视频
Coronary Circulation
6.5K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
6.5K
The Arch of Aorta
1.6K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
1.6K
Cardiac Catheterization III: Left Heart Catheterization
549
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
549
Physiology of the Heart: The Cardiac Cycle
7.9K
The cardiac cycle describes the events from one heartbeat to the next. It includes three main phases: diastole, atrial systole, and ventricular systole, all driven by changes in chamber pressures and the function of heart valves.
Diastole: The Relaxation Phase
During diastole, all four heart chambers relax. The atrioventricular (AV) valves open, and the semilunar valves close. This phase sees the lowest chamber pressures, promoting ventricular filling. Venous blood enters the heart through the...
Diastole: The Relaxation Phase
During diastole, all four heart chambers relax. The atrioventricular (AV) valves open, and the semilunar valves close. This phase sees the lowest chamber pressures, promoting ventricular filling. Venous blood enters the heart through the...
7.9K
Coronary Artery Disease II: Pathophysiology
359
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
359
Coronary Artery Disease I: Introduction
868
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
868


