Very interested, I do not know this stuff.
Vasily,the first yudoman has ALCA no doubt about it,but can you see intramural or interarterial course of anomalous LCA in pictures, on the way to the left side from RSV?
The second case,a racer has the most common benign anomaly;LCx from RSV with retroaortic course.It is known as benign anomaly,but there are several cases with complications and one with sudden death,without any symptoms before.
This anomaly is very easy to diagnose by echo,easier than in coronarography))))
imposter
Модератор: Pyankov Vasily
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Re: imposter
with respect sincerely yours
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Re: imposter
Another patient,one can appreciate retroaortic course,but preatrialis/LA, between aorta and left atrium,relatively malignum route of LCx
ciate retroaortic course,bet preatrialis/LA, between aorta and left atrium,relatively malignum route of LCx- Вложения
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- IMG-181102453.avi
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with respect sincerely yours
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Re: imposter
The first patient is the most probably case of anomalous" Left atrial drainage of great cardiac vein"-> SEND
Normal course of GCV is along with LCx, rare occurrence of the arterial and venous flow in the same direction – in the coronary groove.
Citation.."The great cardiac vein begins at the cardiac apex and ascends along the anterior interventricular groove progressing to the base of the ventricles as the anterior inter ventricular vein. At the coronary groove it turns to the left to form the base of the triangle of "Brocq and Mouchet “with the two branches of the left coronary artery; the left anterior descending and the left circumflex arteries. The triangle is traversed by the diagonal branch of the LAD. The great cardiac vein runs along the coronary grove with the left circumflex to reach the posterior surface of the heart where it terminates by opening into the left extremity of the coronary sinus . . The opening of the great cardiac vein is guarded by the valve of Vieussens.
that 's the way it is
Normal course of GCV is along with LCx, rare occurrence of the arterial and venous flow in the same direction – in the coronary groove.
Citation.."The great cardiac vein begins at the cardiac apex and ascends along the anterior interventricular groove progressing to the base of the ventricles as the anterior inter ventricular vein. At the coronary groove it turns to the left to form the base of the triangle of "Brocq and Mouchet “with the two branches of the left coronary artery; the left anterior descending and the left circumflex arteries. The triangle is traversed by the diagonal branch of the LAD. The great cardiac vein runs along the coronary grove with the left circumflex to reach the posterior surface of the heart where it terminates by opening into the left extremity of the coronary sinus . . The opening of the great cardiac vein is guarded by the valve of Vieussens.
that 's the way it is
- Вложения
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- SEND still 20.avi
- GCV- opposite view
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- SEND still 18.avi
- GCV to the right direction->LA or RA or SVC
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- SEND still 15.avi
- Blue jet- Anomalous GCV, left atrial or right atrial drainage of GCV
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- Normal course of GCV,coronary triangle- LAD- LCx- GCV
- 47814c04.8s.jpg (153.49 КБ) 3305 просмотров
with respect sincerely yours
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Re: imposter
Left atrial drainage of great cardiac vein,respective CT image from an article and Echo image of mine.
The question is:Where is LAD prox?
Obscured by GCV?
The question is:Where is LAD prox?
Obscured by GCV?
- Вложения
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- SEND still 22.avi
- Anomalous left atrial drainage of GCV
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- Anomalous left atrial drainage of GCV
- 1-s2.0-S1934592514003244-gr1.jpg (31.39 КБ) 3289 просмотров
with respect sincerely yours
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Re: imposter
I renew the post,here is the second possibility: LAD is obscured by GCV draining to RAA,Mr Gibreel CT image.
"Broken Triangle Broq and de Mouchet"
Very likely, so near an anomalous GCV and LAD,isn'it?
"Broken Triangle Broq and de Mouchet"
Very likely, so near an anomalous GCV and LAD,isn'it?
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- 125150240_10220032620580778_9048864162781903071_o LAD obscured by ANOMAALOUS GCV draining to RAA.jpg
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with respect sincerely yours