王美娜,李博,王冠群,张尉华

• 1:吉林大学白求恩第一医院心血管内科

摘要(Abstract)：

目的探讨冠状动脉异常起源及分类。方法回顾性分析21 215例吉林大学白求恩第一医院行冠状动脉造影检查患者的冠状动脉造影影像。结果在21 215例患者中,冠状动脉起源异常者为81例,发生率为0.4%。右冠状动脉起源异常共70例,占冠状动脉起源异常总数86.4%,其中62例(76.5%)为右冠状动脉开口于左冠状窦,4例(4.9%)右冠状动脉开口于无冠状窦,1例(1.2%)为右冠状动脉开口于左前降支,1例(1.2%)为右冠状动脉开口于升主动脉,2例(2.5%)为右冠状动脉开口于冠状窦上方。左冠状动脉起源异常共11例,占冠状动脉起源异常总数13.6%,其中3例(3.7%)为左冠状动脉开口于右冠状窦;3例(3.7%)为左回旋支开口于右冠状动脉;1例(1.2%)为左回旋支开口于右冠状窦下方;1例(1.2%)为无左主干,左前降支与左回旋支开口于左冠状窦;2例(2.5%)为无左主干,左前降支与左回旋支开口于主动脉;1例(1.2%)为无左主干,左前降支开口于左冠状窦、左回旋支开口于右冠状窦。结论在冠状动脉起源异常中,右冠状动脉起源异常较常见,其中右冠状动脉开口于左冠状窦最为常见。在冠状动脉造影时,起源异常的冠状动脉其走行也可发生变化。对于冠状动脉起源异常且走行在主-肺动脉之间的冠状动脉异常者,可考虑行手术治疗。

关键词(KeyWords)： 冠状动脉起源异常;冠状动脉造影;冠状动脉恶性变异;冠状动脉CT血管造影

Abstract:

Keywords:

基金项目(Foundation): 国家重点基础研究发展计划(2016YFC0900903)

作者(Author): 王美娜,李博,王冠群,张尉华

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