冠状动脉新血管和囊形成:墙壁血栓的一个迹象
Circulation
|October 1, 1977
概括
在患者中观察到左心神经血管,通常与心脏血栓有关. 血管造影揭示了杂的通信,使这些发现与心脏肌瘤有所区别.
科学领域:
- 心血管成像 - 心血管成像
- 干预心脏病学 干预心脏病学
- 病理学 病理学 病理学
背景情况:
- 左心脏内的神经血管是不常见的发现.
- 它与心脏血栓和动脉瘤的关联需要进一步调查.
- 从临床上来说,区分神经血管性与心脏瘤 (如肌瘤) 是非常重要的.
研究的目的:
- 描述左心神经血管性血管学和组织学特征.
- 调查新血管性与壁面血栓和心脏异常的关联.
- 为了区分新血管性和心脏肌瘤.
主要方法:
- 在15名患者的选择性冠状动脉造影.
- 对心房血栓的组织学检查.
- 临床和血管学特征分析.
主要成果:
- 在十名患者中观察到神经血管与心脏腔的沟通.
- 在9名患者中,腹腔壁血栓邻近的异常,与动脉瘤或心肌病相关.
- 与左心房血栓相关的血管学变化,在6名患有心肌狭窄和心房动的患者中.
- 组织学证实了壁画瘤中的复血管化模式.
结论:
- 左心神经血管疾病可能与壁面血栓和心室异常有关.
- 血管学和临床特征有助于区分新血管性与心脏肌瘤.
- 组织学发现支持壁状血栓进化的中间阶段.
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