anatomia coronÁria
DESCRIPTION
ANATOMIA CORONÁRIA. HOSPITAL DE BASE DO DISTRITO FEDERAL PROGRAMA DE RESIDÊNCIA MÉDICA UNIDADE DE CARDIOLOGIA. GUSTAVO ALEXIM. ANATOMIA CORONÁRIA. ANATOMIA CORONARIANA NORMAL ANOMALIAS CORONARIANAS CIRCULAÇÃO COLATERAL ANATOMIA RADIOLÓGICA. ANATOMIA CORONÁRIA. ANATOMIA CORONÁRIA. - PowerPoint PPT PresentationTRANSCRIPT
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GUSTAVO ALEXIM
HOSPITAL DE BASE DO DISTRITO FEDERALPROGRAMA DE RESIDÊNCIA MÉDICA
UNIDADE DE CARDIOLOGIA
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ANATOMIA CORONARIANA NORMAL
ANOMALIAS CORONARIANAS
CIRCULAÇÃO COLATERAL
ANATOMIA RADIOLÓGICA
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DOMINÂNCIA DIREITA DOMINÂNCIA ESQUERDA
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VEIAS CARDÍACAS
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ANOMALIAS CORONARIANAS• ANOMALIAS DE ORIGEM• FÍSTULAS• PONTE MIOCÁRDICA• ESPASMO CORONÁRIO• ANEURISMA DE ARTÉRIA CORONÁRIA
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Classificação das anomalias coronárias• 1. Fístula de artéria coronária• 2. Estenose ou atrésia coronária congénita• 3. Origem anómala de uma ou mais artérias coronárias• no tronco da AP
a) CD e CE como origem AP b) Origem da CE na AP c) Origem da CD na AP d) Origem da DA na AP e) Origem da Cx na AP f) Origem da artéria do conus na AP
• 4. Origem anómala na artéria aorta a) CE e CD com origem comum no SV direito b) CE e CD com ostia separados no SV direito c) Cx no SV direito (isolada, na CD ou no TC) d) DA no SV direito (isolados no SD) e) DA e Cx com ostia separados no SV esquerdo f) CD com origem no SV esquerdo g) CD ou CE no SV posterior h) Artéria coronária única (no SV direito ou esquerdo)
• 5. Aneurisma das artérias coronárias
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• FISTULAS Mais comum da CD
>90% drenam na circ. Venosa sist. VD – 41% AD – 26% TP – 17% SC – 7% AE – 5% VE – 3% VCS - 1%
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FISTULAS
CLASSIFICAÇÃOModeradas
duas a três vezes o diâmetro esperado para a coronária
Grandes > 3 vezes o diâmetro
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ART. COR. ESQUERDA - SEIO CORONÁRIO DIREITO
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ART. COR. DIREITA – SEIO CORONÁRIO ESQUERDO
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ART. COR. ESQUERDA – ARTÉRIA PULMONAR
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FISTULA COR. ESQUERDA ART. PULMONAR
FISTULA COR. ESQUERDA VENT. ESQUERDO
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ESPASMO ARTÉRIA CORONÁRIA
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PONTE MIOCÁRIDA
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ARTÉRIA CORONÁRIA ESQUERDA
ARTÉRIA CORONÁRIA DIREITA
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