Intussusception of a coronary artery associated with sudden death in a college football player.
Intussusception of a coronary artery associated with sudden death in a college football player.
复制标题
与大学橄榄球运动员猝死相关的冠状动脉肠套叠。
DOI：
10.1016/0002-9149(86)90977-x
复制
发表时间：
1986
期刊：
影响因子：
--
通讯作者：
J. C. Sapala
中科院分区：
文献类型：
--
作者：
W. Roberts;M. Silver;J. C. Sapala
在年轻年龄组中，非动脉粥样硬化性猝死的冠状动脉原因包括这些动脉的起源、数量和走行异常，以及1支或1支以上冠状动脉的孤立夹层。作者遇到了另一种与足球运动员猝死相关的非动脉粥样硬化性冠状动脉异常。心脏重480克，室间隔和左心室游离壁厚度达1.9厘米。右、左主干、左前降支和左回旋支升起走行正常，管腔广泛通畅。显微镜检查显示，闭塞是部分中膜和内膜套叠的结果。肠套叠是指管壁内陷或脱出到邻近部分，已有报道涉及夹层动脉瘤的弹性动脉--主动脉，但不涉及冠状动脉，这种机制导致的猝死尚未见报道。
Among the younger age group, nonatherosclerotic but coronary causes of sudden death have included anomalies of origin, number and courses of these arteries and isolated dissection of 1 or more coronary arteries. The authors encountered another nonatherosclerotic type of coronary abnormality associated with sudden death in a football player. The heart weighed 480 g and the ventricular septum and left ventricular free wall measured up to 1.9 cm in thickness. The right, left main, left anterior descending and left circumflex coronary arteries arose and coursed normally and their lumens were widely patent. Microscopic examination disclosed that the 'occlusion' was the result of intussusception of a portion of media and intima. Intussusception, an invagination or prolapse of a tubular wall into an adjacent portion, has been reported to involve the aorta, an elastic artery, in dissecting aneurysm but not a coronary artery, and sudden death by this mechanism has not been reported previously.