Tek koroner arter çıkış anomalisi nedeni ile koroner çıkış anomalilerinin retrospektif incelenmesi

Özet

Çoğu hastada koroner anomali asemptomatikdir. Buna rağmen invaziv kaleler ve bypass cerrahisinde anomalinin önceden bilinmesi önemlidir. Bu çalışmada retrospektif taranan 800 koroner anjiy agrafı vakasında, koroner anomali sıklığını %0.50 olarak bulduk, l vakada Sol Ön İnen Arter (LAD), Sirkumfleks (Cx), ve Sağ koroner arterin sağ aortik sinüsden orjin aldığı, miyokardiyal perfüzyon bozukluğu oluşturan tek koroner arter anomalisi, l vakada Cx'in, Sağ koroner'den orjin aldığı, l vakada Cx ve LAD sol aortik sinüsden ayrı ayrı orjin aldığı, l vakada konuş dalının sağ aortik sinüsden ayrı orifısle ayrıldığını sapladık.

Abstract

Most patients with coronary anomalies are asymptomatic. The knowledge of those variations could be important in regard to invasive catheter treatment or bypass surgery. In a retrospective study, the angiographie findings based on 800 patients were analyzed concerning coronary anomalies and malformations. Of the patients studied, 4 (%0.50) had coronary anomalies, and in I patient the Circumflex origine was from the proxy mal segment of the right coronary artery. A singular coronary artery was found in I patient, originating from the right aortic sinus. In one patient, Cx and LAD arteries was separed from different orifices, such as left aortic sinus. In another one patient conus branch was separated from right aortic sinus as different from right coronary artery