冠状血管先天异常

English | PDF (True) | 2023 | 276 Pages | ISBN : 3031369653 | 24.5 MB

The coronaries are the first branches of the ascending aorta. They arise from their respective sinuses of Valsalva, and gradually branch distally to the myocardium. Abnormalities of the coronary arteries, either congenital or acquired, can be characterized as a lack of origin, abnormal origin, anomalous course, lack of patency, abnormal connections, and/or abnormal drainage of the coronary vessels. Interruptions to or lack of flow can cause significant morbidity and mortality due to ischemia, infarction and fistulous connections, which can lead to cardiac failure, endocarditis and ischemia. Coronary artery anomalies are rare in general populations. Although they can be benign and asymptomatic, they can also be malignant due to their origin and course and can cause sudden cardiac death. As such, an understanding of how to analyze, diagnose and treat them is vital. This book presents the latest advances in congenital anomalies of coronary arteries. It offers a comprehensive overview of the field, including illustrative angiograms and diagrams that demonstrate all possible anomalies and clarify what is abnormal, and also provides practical insights to guide practitioners in their everyday practice.

冠状动脉是升主动脉的第一级分支。它们起源于各自的Valsalva窦，逐渐在心肌处分出细小的支。无论是先天性还是后天性的冠状动脉异常都可以根据缺乏起源、异常起源、异常路径、不通畅、异常连接以及冠状血管异常引流进行描述。中断或血流不足会导致严重的发病率和死亡率，原因是缺氧、梗死和瘘道连接，这可能导致心力衰竭、心内膜炎和缺氧。 在一般人群中，冠状动脉畸形较为罕见。尽管它们可以是良性的且无症状，但其起源和路径也会导致恶性病变，从而引起猝死。因此，了解如何分析、诊断和治疗这些异常至关重要。 这本书介绍了冠状动脉先天性畸形的最新进展。它涵盖了整个领域的全面概述，包括描述所有可能的畸形并阐明什么不正常的同时展示详细的人体造影图和图表，并提供了实用见解以指导从业者在日常实践中使用。

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