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 »

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 »

Anomalous LCx
IMG-105903468.avi
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IMG-110021265.avi
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IMG-110225062.avi
4 CH
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IMG-111022734.avi
zoom
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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 »

Another patient,one can appreciate retroaortic course,but preatrialis/LA, between aorta and left atrium,relatively malignum route of LCx
IMG-181251015.avi
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IMG-181215812.avi
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IMG-181139625.avi
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IMG-181017968.avi
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ciate retroaortic course,bet preatrialis/LA, between aorta and left atrium,relatively malignum route of LCx
Вложения
IMG-181102453.avi
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with respect sincerely yours
Wojtek Guzowski
Сообщения: 193
Зарегистрирован: Пн авг 13, 2018 5:37 pm
Откуда: Cedynia Poland

Re: imposter

Сообщение Wojtek Guzowski »

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
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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
Normal course of GCV,coronary triangle- LAD- LCx- GCV
47814c04.8s.jpg (153.49 КБ) 1086 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 »

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
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Anomalous left atrial drainage of GCV
Anomalous left atrial drainage of GCV
1-s2.0-S1934592514003244-gr1.jpg (31.39 КБ) 1070 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 »

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
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with respect sincerely yours
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