它将右冠状动脉与后的阴险的心房内通道分裂
Damandeep Singh1, Vineeta Ojha1, Niraj Nirmal Pandey1
1Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi-110029, India.
Methodist DeBakey cardiovascular journal
|December 15, 2025
概括
在一名79岁的男性身上发现了一种罕见的右冠状动脉分裂异常与心房内过程,呈现出胸痛. 冠状动脉计算机断层扫描血管造影 (CTA) 对于诊断至关重要,突出了它在检测这种不寻常的冠状动脉变体方面的重要性.
科学领域:
- 心血管成像 - 心血管成像
- 解剖学变种 解剖学变种
- 放射学 放射学是一门学科.
背景情况:
- 非典型的胸痛可能会带来诊断挑战.
- 先天性冠状动脉异常很少见,但在临床上具有重大意义.
- 右冠状动脉分裂的后干可以遵循一个不寻常的心房内路径.
研究的目的:
- 报告一种罕见的右冠状动脉分裂与心房内流程的罕见病例.
- 强调冠状动脉计算机断层扫描血管学 (CTA) 的诊断实用性.
- 为了突出这一冠状动脉异常的临床影响.
主要方法:
- 一个79岁的男性患有非典型的胸痛的案例介绍.
- 进行了心电图带入的冠状动脉计算机断层扫描血管造影 (CTA).
- 与侵入性冠状动脉血管造影的潜在诊断局限性的比较.
主要成果:
- 一个分裂的右冠状动脉异常被确定.
- 异常动脉的后干沿着心房内通道进行.
- 冠状动脉CTA成功可视化了异常.
结论:
- 右冠状动脉分裂与心房内流程是一种罕见的异常.
- 冠状动脉CTA在诊断这种变种方面非常有效.
- 这种异常可能会被侵入性冠状动脉血管学错过,这强调了CTA的价值.
相关概念视频
Coronary Circulation
6.4K
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...
6.4K
The Arch of Aorta
1.5K
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...
1.5K
Abdominal Aorta
2.0K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.0K
Thoracic Aorta
1.4K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
1.4K
Physiology of the Heart: The Cardiac Cycle
7.6K
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...
7.6K
Overview of Systemic Veins
1.1K
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
1.1K


