重型冠状动脉畸形七例  

A report of 7 cases with anomalous origins and communications of coronary arteries

作　　者：颜光烈[1] 王尔祯[1] 浦晓东[1] 陈诗泉[1] 陈良生 谢维泉[1] 

机构地区：[1]福建省心血管病研究所,福建省立医院

出　　处：《中华心血管病杂志》1994年第4期259-260,共2页Chinese Journal of Cardiology

摘　　要：我院于１９８４～１９９２年收治了７例冠状动脉畸形，分别患有源于肺动脉的左冠状动脉、右冠状动脉－冠状静脉窦瘘、右冠状动脉－右心房瘘、左冠状动脉－右心室瘘、左冠状动脉－肺动脉瘘和左冠状动脉－左心室瘘共６种冠状动脉畸形。心血管造影和超声心动图是诊断本病的主要检查方法。本组７例均经外科手术证实。源于肺动脉的左冠状动脉行主动脉－左冠状动脉旁路术，其余６例行冠状动脉瘘口缝扎术，取得满意的治疗。Abstract During the period 1984-1992, seven patients with anomalous origins and communications of coronary arteries were admitted to our hospital. Their diagnoses were established as six kinds of anomalies,i. e. anomalous origin of left coronary artery from the pulmonary artery, and coronary artery fistulas terminating in the coronary sinus, right atrium, right ventricle, pulmonary artery and left ventricle, respectively. All confirmed by operation. Echocardiography and selective angiocardiography were most useful for the diagnosis. Surgery of bypass between aorta and left coronary artery was done for one patient with the anomalous origin, and suture of the fistula for the other six patients. Therapeutic effect of the operations were satisfactory in all the patients. The diagnosis and treatment of the anomalies were briefly discussed in the paper.

关 键 词：心血管造影 冠状动脉畸形 

分 类 号：R543.3[医药卫生—心血管疾病]