Congenital coronary artery anomalies: clinical and therapeutic implications.
Congenital coronary artery anomalies: clinical and therapeutic implications.
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先天性冠状动脉异常：临床和治疗意义。
DOI：
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发表时间：
1981
期刊：
影响因子：
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通讯作者：
William C. Sheldon
中科院分区：
文献类型：
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作者：
Hobbs Re;Millit Hd;Raghavan Pv;Moodie Ds;William C. Sheldon
冠状动脉造影过程中不可避免地会遇到冠状动脉异常。血管造影师的正确识别对于对冠状动脉系统进行彻底和有效的研究是至关重要的。虽然大多数冠状动脉异常在临床上并不显著，但有些与症状和潜在的严重并发症有关。可能需要通过负荷测试和铊扫描进行进一步评估。心脏外科医生应始终在手术前评估冠状动脉异常的存在，以避免血管横断、结扎或医源性闭塞。对血流动力学显着的冠状动脉畸形进行了外科修复，取得了良好的效果。
Coronary artery anomalies are inevitably encountered during the performance of coronary arteriography. Proper identification by the angiographer is essential for conducting thorough and efficient investigations of the coronary artery system. Although most coronary artery anomalies are clinically insignificant, some are associated with symptoms and potentially serious complications. Further evaluation with stress testing and thallium scanning may be required. The cardiac surgeon should always be appraised preoperatively of the presence of coronary artery anomalies in order to avoid transsection, ligation, or iatrogenic occlusion of the vessel. Surgical repair of hemodynamically significant coronary artery anomalies has been performed with good results.