摘要
目的:探讨先天性起源异常的右冠状动脉(冠脉)闭塞病变经皮冠脉介入(PCI)治疗的效果。方法:回顾性分析1例右冠脉起源异常伴心肌梗死患者的诊治经过,并总结近20年来报道的30余例右冠脉起源异常病例,通过对发病率、起源部位、指引导管选择等方面进行探讨。结果:异常右冠脉起源于左冠脉窦的报道较多,应用的指引导管类型以Amplatz、Judkins多见,但病例报道较少。结论:仍需更多的手术经验积累以及对磁共振成像、多排CT等诊断工具的科学应用。
Objective:To explore the effect of percutaneous coronary intervention on a stenotic anomalous origin of right coronary artery.Method:We analyzed over 30 articles published in recent 20 years at home and abroad,and one more specific case the author encountered and treated,and discussed the incidence,origin site,and guide catheter choose.Result:We found that the right coronary artery from the left sinus of Valsalva were relatively reported,and Amplatz and Judkins used more often than other guide catheters.Conclusion:Because of lack of case reports,the proper application of MRI,MDCT and the surgery experiences accumulation are still in need.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2012年第8期635-637,共3页
Journal of Clinical Cardiology
基金
广东省科技计划项目(No:2010B031500030)
关键词
右冠状动脉起源异常
经皮冠状动脉介入治疗
指引导管
anomalous origin of right coronary artery
percutaneous coronary intervention
guide catheter