右冠状动脉(RCA)有大血栓,远端栓子位于后外侧分支。除了远端分支的栓塞闭塞外,LAD和RCA动脉的TIMI血流等级均正常(图3A),此外,造影显示冠状动脉无动脉粥样硬化病变。 在LAD中使用7-F AP输出导管抽吸取栓失败,未取出血栓。使用2.5x12mm mini Trek兼容球囊(mini Trek,Abbott)对LAD远端进行球囊成形术,不能恢复远端血流...
10% 的患者为左侧优势型冠脉,即 LCX 发出后降支 PDA 图7 右冠状动脉 RCA 发自右冠状窦,穿过右房室沟至室间隔下部。发出较大的分支锐缘支 AM,走行于右室边缘。65% 的人群为右侧优势型,即 RCA 延续为后降支 PDA,供应左室下壁及室间隔下部 图8 侧位和正位示意图,可见重要三支血管 LAD、LCX、RCA 图9 ...
Thus, we decided to treat the patient with pharmacological treatment in the outpatient setting. This report suggests that it is important to recognize the variants of coronary arteries for optimal treatment. doi:10.1016/j.jccase.2013.08.011Elsevier BVJournal of Cardiology Cases...
We conclude that anomalous coronaries can be safely and successfully treated through the radial route after careful evaluation of the origin and course of the anomalous vessels. CT coronary angiography is extremely useful in delineating the vessel course and particularly its relation to great arteries....
After several complications the patient did well and he is alive. Although the patient got the right approach, as we focused on the coronary arteries we did not realized there was an aortic dissection until the end of the procedure.Mario SadabaAsier SubinasJose Ramon Rumoroso...
In this report, we describe a rare combination of coronary anomaly consisting of dual LAD(left anterior descending)-Type IV and anomalous LCX(left circumflex) originating from right sinus during primary angioplasty of RCA(right coronary artery). The course of these arteries was further delineated ...
Four coronary to pulmonary artery fistulas originating from the left main trunk and each of three coronary arteries (LAD, LCX and RCA) detected by the combination of coronary angiography and multislice computed tomography. Int J Cardiol. 2007; 121 :227–228. doi: 10.1016/j.ijcard.2006.08.117...
After several complications the patient did well and he is alive. Although the patient got the right approach, as we focused on the coronary arteries we did not realized there was an aortic dissection until the end of the procedureMario