• Администратор

imposter

и ангиология

Модератор: Pyankov Vasily

Wojtek Guzowski
Сообщения: 193
Зарегистрирован: Пн авг 13, 2018 5:37 pm
Откуда: Cedynia Poland

Re: imposter

Сообщение Wojtek Guzowski » Чт авг 16, 2018 2:44 pm

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))))
with respect sincerely yours

Wojtek Guzowski
Сообщения: 193
Зарегистрирован: Пн авг 13, 2018 5:37 pm
Откуда: Cedynia Poland

Re: imposter

Сообщение Wojtek Guzowski » Чт авг 16, 2018 10:38 pm

Anomalous LCx
IMG-105903468.avi
(3.34 МБ) 410 скачиваний
IMG-110021265.avi
(4.76 МБ) 410 скачиваний
IMG-110225062.avi
4 CH
(3.19 МБ) 394 скачивания
IMG-111022734.avi
zoom
(3.23 МБ) 400 скачиваний
from RSV
with respect sincerely yours

Wojtek Guzowski
Сообщения: 193
Зарегистрирован: Пн авг 13, 2018 5:37 pm
Откуда: Cedynia Poland

Re: imposter

Сообщение Wojtek Guzowski » Чт авг 16, 2018 10:52 pm

Another patient,one can appreciate retroaortic course,but preatrialis/LA, between aorta and left atrium,relatively malignum route of LCx
IMG-181251015.avi
(2.57 МБ) 402 скачивания
IMG-181215812.avi
(1.6 МБ) 414 скачиваний
IMG-181139625.avi
(1.3 МБ) 405 скачиваний
IMG-181017968.avi
(2.07 МБ) 412 скачиваний
ciate retroaortic course,bet preatrialis/LA, between aorta and left atrium,relatively malignum route of LCx
Вложения
IMG-181102453.avi
(2.35 МБ) 406 скачиваний
with respect sincerely yours

Wojtek Guzowski
Сообщения: 193
Зарегистрирован: Пн авг 13, 2018 5:37 pm
Откуда: Cedynia Poland

Re: imposter

Сообщение Wojtek Guzowski » Вс сен 02, 2018 1:20 pm

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
Вложения
SEND still 20.avi
GCV- opposite view
(1.15 МБ) 368 скачиваний
SEND still 18.avi
GCV to the right direction->LA or RA or SVC
(1.32 МБ) 387 скачиваний
SEND still 15.avi
Blue jet- Anomalous GCV, left atrial or right atrial drainage of GCV
(924.83 КБ) 372 скачивания
47814c04.8s.jpg
Normal course of GCV,coronary triangle- LAD- LCx- GCV
47814c04.8s.jpg (153.49 КБ) 710 просмотров
with respect sincerely yours

Wojtek Guzowski
Сообщения: 193
Зарегистрирован: Пн авг 13, 2018 5:37 pm
Откуда: Cedynia Poland

Re: imposter

Сообщение Wojtek Guzowski » Вс сен 02, 2018 8:03 pm

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?
Вложения
SEND still 22.avi
Anomalous left atrial drainage of GCV
(578.7 КБ) 380 скачиваний
1-s2.0-S1934592514003244-gr1.jpg
Anomalous left atrial drainage of GCV
1-s2.0-S1934592514003244-gr1.jpg (31.39 КБ) 694 просмотра
with respect sincerely yours

Wojtek Guzowski
Сообщения: 193
Зарегистрирован: Пн авг 13, 2018 5:37 pm
Откуда: Cedynia Poland

Re: imposter

Сообщение Wojtek Guzowski » Чт ноя 12, 2020 11:18 pm

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?
Вложения
125150240_10220032620580778_9048864162781903071_o LAD obscured by ANOMAALOUS GCV draining to RAA.jpg
(122.46 КБ) 0 скачиваний
with respect sincerely yours

Ответить

Кто сейчас на конференции

Сейчас этот форум просматривают: нет зарегистрированных пользователей и 6 гостей