Comprehensive Review of Coronary Artery Anatomy Relevant to Cardiac Surgery.

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reviews Pub Date : 2024-10-31 DOI:10.2174/011573403X321942241023112517
Emeka B Kesieme, Benjamin Omoregbee, Dumbor L Ngaage, Mark H D Danton
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Abstract

In order to perform safe cardiac surgery, a knowledge of applied coronary artery anatomy and its variants is essential for cardiac surgeons. In normal individuals, the right and the left coronary arteries arise from the corresponding sinuses of Valsalva within the aortic root. From the cardiac surgical perspective, the coronary artery is divided into the left main coronary artery, its branches (the left anterior descending artery and the circumflex artery), and the right coronary artery. With high-risk cardiac surgeries, including redo procedures, becoming increasingly performed, abnormal courses and variations of the coronary arteries, if not recognized, can predispose the patient to avoidable coronary injuries, resulting in adverse outcomes of cardiac surgical procedures. We aim to describe normal and applied coronary anatomy, common coronary artery variants previously reported, and their clinical relevance to both adult and paediatric cardiac surgery.

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全面回顾与心脏手术相关的冠状动脉解剖。
为了安全地进行心脏手术,心脏外科医生必须了解冠状动脉的应用解剖及其变异。正常人的右冠状动脉和左冠状动脉来自主动脉根部相应的瓦尔萨尔瓦窦。从心脏外科的角度来看,冠状动脉分为左冠状动脉主干、其分支(左前降支动脉和环状动脉)和右冠状动脉。随着包括重做手术在内的高风险心脏手术越来越多,冠状动脉的异常走向和变异如果不能被识别,就可能使患者遭受本可避免的冠状动脉损伤,导致心脏手术的不良后果。我们旨在描述正常和应用的冠状动脉解剖结构、以前报道过的常见冠状动脉变异及其与成人和儿科心脏手术的临床相关性。
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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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