Найдено 930 результатов

nikolan70
Чт авг 16, 2018 1:01 pm
Форум: Кардиология
Тема: Коронарно-легочная фистула (ПКА-ЛА)
Ответы: 44
Просмотры: 8679

Re: Коронарно-легочная фистула (ПКА-ЛА)

Pawel Hertz писал(а):
Чт авг 16, 2018 9:04 am
красавица. пка-ла значить ? правоя коронарная артеря л. аномальная ? мой русский язык закончен 40 лет назад.
Да так и есть. Детальная коронарная анатомия правой артерии неизвестна, так как клипы коронарографии утеряны, а стресс-тест отрицательный и показаний для повторной КАГ нет.
nikolan70
Ср авг 15, 2018 9:14 pm
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

An so, do you mean it is also conal branch ?
nikolan70
Ср авг 15, 2018 6:06 pm
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

I answered in my topic.
nikolan70
Ср авг 15, 2018 6:04 pm
Форум: Кардиология
Тема: Коронарно-легочная фистула (ПКА-ЛА)
Ответы: 44
Просмотры: 8679

Re: Коронарно-легочная фистула (ПКА-ЛА)

You were questioning about this artery near the RCA,what do you think,take a look at ostium in long axix, left aortic outflow tract,where is ostium ?Here we are,AO-RCA-2 ostium.gif picture But the second question is still actually, where is the ostium in correlation to Aorta Ascendens in nice pictu...
nikolan70
Ср авг 15, 2018 5:49 pm
Форум: Кардиология
Тема: Коронарно-легочная фистула (ПКА-ЛА)
Ответы: 44
Просмотры: 8679

Re: Коронарно-легочная фистула (ПКА-ЛА)

Let us talk about your 18 years old challenger. Are you sure it is arteriovenosus coronary fistula? What is a difference between CAF,coronary fistula and ARCAPA? You were questioning about this artery near the RCA,what do you think,take a look at ostium in long axix, left aortic outflow tract,where...
nikolan70
Ср авг 15, 2018 3:10 pm
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

Talkin about your cases. What diagnosis have you established in these two boys. Im a little confused about the topic.
nikolan70
Ср авг 15, 2018 2:57 pm
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

When I was reading your post about 18 years old boy with ARCAPA one thing is ror sure- very critical attitude of the others,but it is very difficult and critical diagnosis,do they know? If i understood you correctly. Yes, all collegues who commented my case are great professionals and they are fami...
nikolan70
Вт авг 14, 2018 11:30 pm
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

Yes, one case i presented here
nikolan70
Вт авг 14, 2018 10:06 pm
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

Finaly, if you couldn't find RCA, it may be anomalous RCA origin from PA or LCA with steal flow from left to right artery.
This PW-flow pattern mostly diastolic, cardiac vein flow tipicaly systolo-diastolic with interruption during atrial contraction
nikolan70
Вт авг 14, 2018 2:03 pm
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

Sorry i forgot to attach image with poible LCX flow in previous answer. Now i did it.
nikolan70
Вт авг 14, 2018 1:47 pm
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

Really! By the way, adenosine also is inavailable in Russia, we use ATP for this reason. I have no expirience in stress-echo in alcapa patients, but there are some case in literature discribing wall motion abnormalities during stress-echo. In patients wthis good image equality also posible asess flo...
nikolan70
Вт авг 14, 2018 11:27 am
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

I prefer supine bicycle, but if we want assess CFR adenosin will be a better choise (because dyipyridomole isn't available in russia).
nikolan70
Вт авг 14, 2018 9:57 am
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

:D i really impressed!
In first time If i had no access to CT in such case, stress-echo would be my option.
nikolan70
Вт авг 14, 2018 1:26 am
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

Yes, i meant alcapa or left main ostia atresia or similar with collateral flow Coronary fistula or something like that? Have you PW-doppler image of this flow? Vein? may be, but flow (see image below) looks like LCX with retrograde flow too... and i couldn't find image with systolic flow in this ves...
nikolan70
Вт авг 14, 2018 12:08 am
Форум: Кардиология
Тема: imposter
Ответы: 49
Просмотры: 1644

Re: imposter

It looks like reversal diastolic flow in Left main. As I know it may be in severe aortic insufficiency, but in this case I think we talk about anomalous origin