Abstract
Early reperfusion of a thrombosed, ectopically arising coronary artery was accomplished by selective streptokinase infusion therapy. Familiarity with the most common variations of of coronary artery orifices and/or divisions of major branches is important for the angiographer to ensure that selective catheterization of the involved artery can be accomplished promptly.
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Als A, Paulin S, Aroesty JM (1978) Biplane left ventriculography using RAO and half-axial LAO technique. Radiology 126:511–514
Paulin S (1981) Terminology for radiographic projections in cardiac angiography. Cathet Cardiovasc Diagn 7:341
Markis JE, Malagold M, Parker JA, Silverman KJ, Barry WH, Als AV, Paulin S, Grossman W, Braunwald E (1981) Myocardial salvage after intracoronary thrombolysis with streptokinase in acute myocardial infarction: Assessment of intracoronary thallium-201. N Engl J Med 305:777–783
Banchi A (1904) Morfolgia della arteriae coronariae cordis. Arch Ital Anat Embriol 3:87
Schlesinger MJ (1938) An injection plus dissection study of coronary artery occlusins and anastomoses. Am Heart J 15:528–568
Schlesinger MJ (1940) Relation of anatomic pattern of pathologic conditions of the coronary arteries. Arch Pathol 30:403–415
Hamby RI (1979) Clinical anatomical correlates in coronary artery disease. Futura, Mt Kisco, NY
James TN (1961) Anatomy of the coronary arteries. Hoeber Medical Div Harper Row, New York
Baroldi G, Scomazzoni G (1967) Coronary circulation in the normal and pathologic heart, Office of the Surgeon General, Department of the Army, Washington, DC
Halbertsma HJ (1863) Ontleedkundige anteekeningen Ned Tijdschr Geneesk 7:693
White NK, Edwards JE (1948) Anomalies of the coronary arteries. Arch Pathol 45:766–771
Schlesinger NJ, Zoll PM, Wessler S (1949) The conus artery: A third coronary artery. Am Heart J 38:823–836
Hackensellner HA (1955) Koronaranomalien unter 1000 auslesefrei Untersuchten Herzen. Anat Anz 101:123–130
Paulin S (1964) Coronary angiography. A technical, anatomic and clinical study. Acta Radiol [Diagn] (Suppl) 233
Gensini GG (1975) Coronary arteriography. Futura, Mt Kisco, NY
Page HL Jr, Engel HJ, Campbell WB, Thomas CS Jr (1974) Anomalous origin of the left circumflex coronary artery. Recognition, angiographic demonstration and clinical significance. Circulation 50:768–773
Engel HJ, Torres C, Page HL Jr (1975) Major variations in anatomical origin of the coronary arteries: Angiographic observations in 4,250 patients without associated congenital heart disease. Cathet Cardiovasc Diagn 1:157–170
Paulin S (1967) Interarterial coronary anastomoses in relation to arterial obstruction demonstrated in coronary arteriography. Invest Radiol 2:147–159
McAlpine WA (1975) Heart and coronary arteries. An anatomical atlas for clinical diagnosis, radiological investigation and surgical treatment. Springer, New York
Ogden JA (1968) Congenital variations of the coronary arteries. A clinico-pathologic survey. Yale University Press, New Haven
Keren A, Tzivoni D, Granot C, Yalon S, Stern S (1982) Origin of both coronary arteries from the same sinus of valsalva: Report of two cases. Cathet Cardiovasc Diagn 8:191–199
Paulin S, Schlossman D (1973) Coronary angiography: Technique and normal anatomy. Clin Rev Clin Radiol Nucl Med 4:333–395
Levin DC, Davidoff A, Harrington DP, Bettmann MA, Garnic JD, Lois J (1981) Anatomic variations of the coronary arteries supplying the anterolateral aspect of the left ventricle (LV)—possible explanation for the “unexplained” anterior aneurysm (abstr). Invest Radiol 16:420
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Als, A.V., Malagold, M., Markis, J.E. et al. Successful streptokinase treatment of a thrombosed, ectopic coronary artery: A case report. Cardiovasc Intervent Radiol 5, 197–201 (1982). https://doi.org/10.1007/BF02552310
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DOI: https://doi.org/10.1007/BF02552310