Anatomic variations of coronary artery and the interventional therapy of its stenotic diseases
WANG Jin-Da, CHEN Yun-Dai, LIU Hong-Bin, SUN Zhi-Jun, CHEN Lian
Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (6) : 711-713.
Anatomic variations of coronary artery and the interventional therapy of its stenotic diseases
Objective To explore the incidence of anatomic variations of the coronary arteries in Chinese and sum up the experience of interventional therapy to the anomalous origin coronary artery with stenosis. Methods We reviewed 3015 patients undergone coronary angiography(CAG) in 2010，analyzed 42 anatomic variations of coronary artery, and summed up percutaneous coronary intervention(PCI) on 5 patients of anomalous origin coronary artery with stenosis. Results Among all patients undergone CAG, 42 cases had anatomic variation, with an incidence of 1.39%. Anomalous origin coronary artery appeared in 28 cases(0.93%), coronary pulmonary-artery fistula appeared in 8 cases(0.27%), the left ventricular fistula in 2 cases(0.07%), the right ventricular fistula in 2 cases(0.07%), the left atrium fistula in 1 case(0.03%), and the arteriovenous fistula in 1 case(0.03%). PCI was performed successfully in 4 cases, failed in 1 case, and no major complication happened. Conclusions PCI to the patients of anomalous origin coronary artery with stenosis is safe and feasible.
Coronary artery / Anatomy / Variation / Percutaneous coronary intervention
[1] Stauffer JC, Sigwart U, Vogt P,et al. Transluminal angioplasty of a single coronary artery
[J].Am Heart J,1991,122(2):569-571.
[2] 马国军，于淑靖，李忠信.64层螺旋CT对冠状动脉起源异常及预后的评价
[J].中国临床医学影像杂志，2007，18(8)：537-539.
[3] 戴沁怡，吕飚，张兆起.64层螺旋CT诊断成人冠状动脉起源异常
[J].中华放射学杂志，2006，40(8):804-807.
[4] 陈燕浩，金朝林，王翔，等.64层螺旋CT冠状动脉造影在冠状动脉起源异常诊断中的应用价值
[J].山西医科大学学报，2010，41(3):241-245.
[5] Cademartiri F,Nieman K,Raaymakers RH,et al.Non-invasive demonstration of coronary artery anomaly performed using 16-slicemultidetector spiral computed tomography
[J].Ital Heart J,2003,4(1):56-59.
[6] Chaitman BR, Lespérance J, Saltiel J,et al.Clinical,angiographic,and hemodynamic findings in patients with anomalous origin of the coronary arteries
[J].Circulation,1976,53(1):122-131.
[7] Engel HJ,Torres C,Page HL.Major variations in anatomical origin of the coronary arteries: Angiographic observations in 4250 patients without associated congenital heart disease
[J].Cardiovasc Diag,1975,1(2):157-163.
[8] 吴瑛，姚民，高润霖，等.成人冠状动脉造影中起源异常分析
[J].中华心血管病杂志，2004,7:587-591.
[9] 杨俊娟，曹静，郭三强，等.冠状动脉先天性异常患者的冠状动脉造影分析
[J].中国介入心脏病学杂志，2005，13(1):31.
[10]王健，孙根义，徐乃勋.血管造影术检出冠状动脉先天性畸形89例分析
[J].天津医药，2005，33(5):309.
[11]王远鹤，齐国先.冠状动脉先天性变异的冠状动脉造影分析
[J].中国医科大学学报，2006，35(1):96.
/
| 〈 |
|
〉 |
