Pseudohypoplasia of Right Coronary Artery in a Korean Female Cadaver
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Stenotic or hypoplastic coronary arteries occupy vital features in the clinical situations. The pseudohypoplasia might be defined as a macroscopic hypoplasia based on the diameter of an artery compared with contralateral artery but is not hypoplasia both anatomically and histopathologically. During a routine dissection course, a pseudohypoplasia in right coronary artery was recognized in an 82-year-old Korean female cadaver who had a common mesenteric trunk and a fibromuscular dysplasia in the left vertebral artery. Although macroscopic hypoplasia was discovered, the right coronary artery had normal anatomical features and the left coronary artery showed atherosclerotic changes on the main trunk. The right coronary artery was misread to have hypoplasia due to atherosclerotic aneurysm on left coronary artery. Since macroscopic hypoplasia in radiological and surgical situations may lead to confusion to interpret its pathophysiology just like this case, the better anatomical knowledge on the coronary artery can help to prevent misleading approaches.
Abstract
Stenotic or hypoplastic coronary arteries occupy vital features in the clinical situations. The pseudohypoplasia might be defined as a macroscopic hypoplasia based on the diameter of an artery compared with contralateral artery but is not hypoplasia both anatomically and histopathologically. During a routine dissection course, a pseudohypoplasia in right coronary artery was recognized in an 82-year-old Korean female cadaver who had a common mesenteric trunk and a fibromuscular dysplasia in the left vertebral artery. Although macroscopic hypoplasia was discovered, the right coronary artery had normal anatomical features and the left coronary artery showed atherosclerotic changes on the main trunk. The right coronary artery was misread to have hypoplasia due to atherosclerotic aneurysm on left coronary artery. Since macroscopic hypoplasia in radiological and surgical situations may lead to confusion to interpret its pathophysiology just like this case, the better anatomical knowledge on the coronary artery can help to prevent misleading approaches.
참고문헌 (15)
- De Giorgio F, "Hypoplastic coronary artery disease causing sudden death. Report of two cases and review of the literature", Cardiovasc Pathol, 19, pp.107~111 (2010)
- 김민석, "Cases of Right Ventricular Myocardial Infarction in Patients with an Absent or Hypoplastic Right Coronary Artery", Korean Circulation Journal, 37(3), pp.84~86 (2007), 대한심장학회
- 심두선, "Myocardial Infarction in a Young Man due to a Hypoplastic Coronary Artery", Korean Circulation Journal, 39(4), pp.163~167 (2009), 대한심장학회
- 유승진, "A Case of the Inferior Mesenteric Artery Arising from the Superior Mesenteric Artery in a Korean Woman", Journal of Korean Medical Science, 26(10), pp.1382~1385 (2011), 대한의학회
- 현창림, "Hypoplasia of Left Vertebral Artery with Intimal Fibromuscular Dysplasia in a Korean Woman", Journal of Korean Medical Science, 27(7), pp.811~813 (2012), 대한의학회
- Thomas CS, "Disease of proximal part of vertebral artery in patients with coronary artery disease", Angiology, 54, pp.205~209 (2003)
- Songur A, "Variations in the intracranial vertebrobasilar system", Surg Radiol Anat, 30, pp.257~264 (2008)
- Fazliogullari Z, "Coronary artery variations and median artery in Turkish cadaver hearts", Singapore Med J, 51, pp.775~780 (2010)
- Yun YK, "Computerized quantative analysis of coronary angiogram in patients without coronary pathology", Korean J Thorac Cardiovasc Surg, 31, pp.488~493 (1998)
- Fatini C, "Multilocus analysis in candidate genes ACE, AGT, and AGTR1 and predisposition to peripheral arterial disease: role of ACE D", -240T haplotype, 2009, pp.50, 1399~1404
- Bauters C, "Association between the ACE genotype and coronary artery disease. Insights from studies on restenosis, vasomotion and thrombosis", Eur Heart J, 19, pp.24~29 (1998)
- Acarturk E, "Insertion", deletion polymorphism of the angiotensin converting enzyme gene in coronary artery disease in southern Turkey, 2005, pp.38, 486~490
- Um JY, "Polymorphism of angiotensin-converting enzyme, angiotensinogen, and apolipoprotien E genes in Korean patients with cerebral infarction", J Mol Neurosci, 21, pp.23~28 (2003)
- Pfohl M, "Association between angiotensin I-converting enzyme genotypes, extracranial artery stenosis, and stroke", Atherosclerosis, 140, pp.161~166 (1998)
- Chen WH, "Prevalence of extracranial carotid and vertebral artery disease in Chinese patients with coronary artery disease", Stroke, 29, pp.631~634 (1998)