期刊文献+

主动脉瓣狭窄患者冠脉造影正常出现右冠向左冠侧枝循环的观察

下载PDF
导出
摘要 目的:为了更深入的研究观察主动脉狭窄病患冠状动脉造影正常产生右冠向左冠侧枝循环的临床效果疗效。方法:选取我院收治的主动脉狭窄20例患者的临床资料进行回顾分析,同时观察在病患主动冠脉造影正常的情况下,右冠向左冠侧枝的循环规律。结果:在对病患的做冠动脉进行造影时显示,左侧主干的前降支与回旋支血液流动分布正常,没有看到左侧主动脉血管狭窄或是钙化,右冠开口处的血压为130/80mmHg,但是可以看到右冠主动脉的远端向前降支远端的侧枝循环,前降支远端和分支部分显影清楚,没有看到前降支中段与左侧主动脉产生狭窄病变。结论:在对病患的冠状动脉进行造影时,倘若没有看到近端血管堵塞或是产生狭窄病变,尤其是右冠主动脉向左冠主动脉的侧枝产生循环时,临床主治医生首先要考虑是否是因主动脉瓣产生狭窄导致的,这是诊断主动脉瓣狭窄的有效科学依据,可以在临床医学中广泛使用。
作者 周淼
出处 《中国民族民间医药》 2013年第20期92-93,共2页 Chinese Journal of Ethnomedicine and Ethnopharmacy
  • 相关文献

参考文献4

二级参考文献21

  • 1Silaruks S,Clark D,Thinkhamrop B,et al.Angina pectoris and coronary artery disease in severe isolated valvular aortic stenosis[J].Heart Lung Circ,2001,10(1):14-23.
  • 2Rajappan K,Rimoldi OE,Camici PG,et al.Functional changes in coronary microcirculation after valve replacement in patients with aortic stenosis[J].Circulation,2003,107(25):3170-3175.
  • 3Bakhtiary F,Schiemann M,Dzemali O,et al.Stentless bioprostheses improve postoperative coronary flow more than stented prostheses after valve replacement for aortic stenosis[J].J Thorac Cardiovasc Surg,2006,131(4):883-888.
  • 4Nemes A,Forster T,Varga A,et al.How can coronary flow reserve be altered by severe aortic stenosis[J]? Echocardiography,2002,19(8):655-659.
  • 5Kume T,Akasaka T,Kawamoto T,et al.Mechanisms of impaired coronary flow reserve in patients with aortic stenosis:transthoracic Doppler echocardiographic study[J].J Cardiol,2004,43(4):173-178.
  • 6Omran H,Fehske W,Rabahieh R,et al.Relation between symptoms and profiles of coronary artery blood flow velocities in patients with aortic valve stenosis:a study using transoesophageal Doppler echocardiography[J].Heart,1996,75(4):377-383.
  • 7Doucette JW,Corl PD,Payne HM,et al.Validation of a Doppler guide wire for intravascular measurement of coronary artery flow velocity[J].Circulation,1992,85(5):1899-1911.
  • 8Hess OM,Villari B,Krayenbuehl H.Diastolic dysfunction in aortic stenosis[J].Circulation,1993,87(Supul 5):73-76.
  • 9Villari B,Vassalli G,Monrad ES,et al.Normalization of diastolic dysfunction in aortic stenosis late after valve replacement[J].Circulation,1995,91(9):2353-2358.
  • 10Kaufmann P,Vassalli G,Lupiwagna S,et al.Coronary artery dimension in primary and secondary left ventricular hypertrophy.J Am Coll Cardiol,1996,28(3):745-750.

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部