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19. Chirurgische Aspekte der Coronarinsuffizienz bei angeborenen Coronaranomalien

  • Herzchirurgie
  • Coronarinsuffizienz
  • Published:
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Summary

According to surgical aspects two types of coronary insufficiency, which must be basically differentiated, are described in relation to congenital cardiovascular malformations. Anomalies of the coronary arteries may produce decreased myocardial perfusion or failure to consider them during cardiac surgery may produce iatrogenec coronary insufficiency. The problems which result from this are discussed on the basis of three cases with abnormal origin of the left coronary artery from the pulmonary artery, a fistula of the right coronary artery to the left ventricle and an aneurysm of the descending branch of the left coronary artery and an accessory coronary artery.

Zusammenfassung

Es werden nach chirurgischen Aspekten zwei prinzipiell zu unterscheidende Formen der Coronarinsuffizienz im Zusammenhang mit angeborenen kardiovasculären Mißbildungen beschrieben. Coronaranomalien können selbst zur myokardialen Minderdurchblutung oder durch Nichtbeachtung bei herzchirurgischen Eingriffen zur iatrogenen Coronarinsuffizienz führen. Die daraus sich ergebende Problematik wird anhand von 3 Fällen des Fehlursprungs der linken Herzkranzarterie aus der Arteria pulmonalis, einer Fistel der rechten Coronararterie zum linken Ventrikel, eines Aneurysmas des Ramus descendins der linken Kranzarterie und einer akzessorischen Coronararterie besprochen.

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Authors and Affiliations

  1. Düsseldorf

    W. Brucks

Authors
  1. W. Ringler
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  2. W. Brucks
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Ringler, W., Brucks, W. 19. Chirurgische Aspekte der Coronarinsuffizienz bei angeborenen Coronaranomalien. Langenbecks Arch Chiv 325, 182–188 (1969). https://doi.org/10.1007/BF01255907

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