Pagina-afbeeldingen
PDF
ePub

Recanalization of the Occluded Vessel.

Relationship of the "Third Coronary Artery" to the Collateral Circulation

Conclusion Regarding Intracardiac Arterial Anastomotic Circulation.......

Extracardiac Anastomotic Circulation and the Direct Vascular Communications With the Cardiac Cavities in Coronary Stenosing-occlusive Disease..

The Arteriovenous Cardiac Anastomoses.

REFERENCES.

INDEX..

ILLUSTRATIONS

Page

239

243

245

261

263

267

303

235

Figure

1 Injection equipment and method.

2 Sampling for histologic study.

3 Extramural coronary arteries

4 Different branching patterns, left main coronary artery. 5 Left anterior descending branch, left coronary artery.

6 Right coronary artery, posterior surface of the heart.

7 Various patterns of development, left diagonal branch.

8 Circumflex branch, left coronary artery. . . . .

9 Anterior surface of the heart, showing course and anterior secondary branches, right coronary artery.. 10 Different distribution patterns, third coronary artery..

11 Interventricular septal arterial circulation....

12 Atrial arterial circulation, posterior surface of the heart.

13 Atrial arterial circulation.....

14 Homocoronary anastomoses.

15 Intercoronary anastomoses

16 Intercoronary anastomoses.

17 Parallel arrangement of septal anastomoses.

18 Characteristic “corkscrew" aspect of arterial anastomoses

19 Coronary veins, posterior surface of heart..

20 Coronary veins, anterior surface of heart.

21 Venous circulation, posterior surface of the left ventricle of the heart.

22 Relationship between small cardiac vein and anterior cardiac veins. 23 Atrial venous circulation...........

24 Interventricular septal venous circulation.

25 Venous anastomoses...

26 Relationship between arterial and venous circulation

27 Direct arterial and venous communications with the cardiac cavities.

28 Coronary arterial circulation in the atrophic heart...

29 Coronary arterial circulation in the atrophic heart..

30 Coronary arterial circulation in the atrophic heart..

31 Coronary arterial circulation in right hypertrophy of the heart..
32 Coronary arterial circulation in left hypertrophy of the heart.
33 Coronary arterial circulation in total hypertrophy of the heart.
34 Atrial and septal arterial circulation in the hypertrophic heart

35 Homocoronary and intercoronary arterial anastomoses in the hypertrophic heart
36 Homocoronary and intercoronary arterial anastomoses in the hypertrophic heart.
37 Posterior surface, showing venous circulation in the hypertrophic heart...
38 Coronary arterial circulation of the normal heart in chronic hypoxic diseases_
39 Coronary arterial circulation of the normal heart in chronic hypoxic diseases.
40 Coronary arterial circulation of the normal heart in chronic hypoxic diseases.
41 Coronary arterial circulation in coronary disease.
42 Coronary arterial circulation in coronary disease.
43 Coronary arterial circulation in coronary disease.
44 Coronary arterial circulation in coronary disease.

45 Coronary arterial circulation in coronary disease.

46 Atrial anastomotic circulation in hearts with coronary occlusion..

47 Ventricular anastomotic circulation in hearts with coronary occlusion_

10

12

14

15

17

22

26

28

30

31

51

52

53

55

56

61

63

64

73

74

77

82

89

95

103

105

107

115

117

119

123

125

127

129

135

137

139

157

158

159

187

189

191

193

Figure

48 Arterial anastomotic circulation in hearts with coronary occlusion. 49 Arterial anastomotic circulation in hearts with coronary occlusion. 50 Occlusion of the anterior descending branch, left coronary artery.. 51 Occlusion of the anterior descending branch, left coronary artery.

52 Occlusion of the right coronary artery

53 Occlusion of the right coronary artery

54 Occlusion of the circumflex branch, left coronary artery.

55 Occlusion of the anterior descending branch of the left coronary artery and the right coronary artery__ 56 Occlusion of the circumflex branch of the left coronary artery and the right coronary artery.

57 Multiple occlusions without myocardial damage...

58 Heart with infarction without coronary occlusion..

59 Typical intramural avascular area in cases with recent myocardial infarction..

60 Paranecrotic intramural coronary arteritis in human heart_

61 Paranecrotic intramural coronary arteritis in experimental myocardial infarction.

62 Angiomatous vascularization in infarcted myocardial areas.

63 Histology of intracardiac arterial anastomoses

Page

195

197

199

201

203

205

207

209

211

213

214

231

232

233

234

235

64 Different patterns of recanalization of the occluded vessels. 65 Recanalization of an occluded coronary artery.

239

240

66 Recanalization of an occluded coronary artery.

241

67 Arterial anastomotic circulation in hearts with right or left coronary arterial occlusion in the absence of the "third coronary artery".

247

68 Arterial anastomotic circulation in hearts with right or left coronary arterial occlusion in the presence of the "third coronary artery".

249

TABLES

Number

1 Characteristics of the left main coronary artery.

2 Termination of the left anterior descending branch.

3 Extramural secondary branches, anterior descending branch of the left coronary artery.

4 Frequency of the left diagonal branch..

5 Termination of the circumflex branch, left coronary artery.

6 Frequency of the ventricular extramural secondary branches of the circumflex branch, left coronary artery...

7 Termination of the right coronary artery.

8 Frequency of the extramural branches, right coronary artery.

9 Characteristics of the right marginal branch

10 Characteristics of the posterior descending branch..

11 General characteristics of the third coronary artery.

12 Atrial branches..

13 Origin of the main atrial branch

14 General characteristics of the atrial circulation.

15 Main source of atrial circulation..

16 Source of sino-auricular node circulation

17 Frequency of the different types of coronary circulation..

18 Frequency of the different types of coronary circulation, according to Schlesinger's classification. 19 Origin of the main atrial branch in relation to the ventricular typology..

20 Diameter of coronary arteries at their origin in the different types of circulation..

21 Synthesis of the literature concerning normal intracardiac arterial anastomotic circulation.. 22 Length and diameter of the coronary sinus..

23 Origin of the great cardiac vein.

24 Origin of the middle vein....

25 Synthesis of the literature concerning arterial communications with the heart cavities
26 Synthesis of the literature concerning venous communications with the heart cavities..
27 Frequency of arterioluminal and thebesian vessels in the normal heart.
28 Cases with cardiac atrophy....

29 Mean values of collateral circulation in the atrophic heart..

30 Synthesis of the literature regarding coronary circulation in hypertrophy.

31 Cases with cardiac hypertrophy.....

32 Diameters of the coronary arteries at their origin in normal and hypertrophic hearts. 33 Cases with chronic hypoxia..

[merged small][merged small][merged small][merged small][merged small][merged small][subsumed][ocr errors][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small]

Number

34 Cases with coronary disease.

35 Coronary stenosis, grades 1-2, “hospital”.

36 Coronary stenosis, grades 3-4, "hospital".

37 Coronary occlusion, "hospital”.

38 Coronary stenosis, grades 1-2, sudden cardiac death.

39 Coronary stenosis, grades 3-4, sudden cardiac death..

40 Coronary occlusion, sudden cardiac death...

41 Age and arterio-atherosclerosis in the "hospital" group..

42 Age and different grades of arterio-atherosclerosis in the "hospital" group

43 Age and arterio-atherosclerosis in the "sudden death" group.

44 Age and different grades of arterio-atherosclerosis in the "sudden death" group

45 Age and arterio-atherosclerosis, "hospital" and "sudden death" groups... 46 Age and different grades of arterio-atherosclerosis,

47 Frequency of occlusions.

"hospital”-♂“sudden death" groups

48 Types of coronary circulation in relation to arterio-atherosclerosis

49 Frequency of lesions in the principal subepicardial arterial vessels, by grade of lesion, source, and sex of patient.

51 Associations of multiple coronary occlusions in different types of circulation

50 Coronary occlusion in main arterial vessels in relation to typology.

52 Incidence of cases with multiple occlusions in relation to typology.............

53 Prevalence of arterio-atherosclerotic lesions in the two total coronary sections.

54 Sectional prevalence of coronary arterio-atherosclerosis in relation to typology

55 Localization of the occlusion in single principal arteries__

56 Mean values of the anastomotic circulation in grades 1-2 stenosis

Page

142

144

146

148

153

154

155

160

162

162

164

164

166

166

167

170

173

174

174

175

175

176

182

57 Mean values of the anastomotic circulation in grades 3-4 stenosis.

183

61 Myocardial damage in relation to coronary stenosing disease.

58 Mean values of the anastomotic circulation in occlusion....

59 Mean values of the anastomotic index in occlusion of the single main coronary branches.

60 Diameter of coronary arteries at their origin in hypertrophic hearts of type I circulation with and without coronary lesions...

62 Cases with arterial coronary occlusion, without myocardial damage.

63 Cases with arterial coronary occlusion, with sclerotic focal myocardial damage.

184

185

216

217

219

220

[blocks in formation]

68 Coronary typology in relation to myocardial infarction and coronary sclerosis, and cases without coronary and myocardial damage

227

69 Mean values of anastomotic index in relation to myocardial damage.

70 Mean values of anastomotic circulation.

71 Frequency percentage of the cases in relation to maximum diameter of the anastomosis

227

250

251

Number

1 Type Ia, 5%

2 Type 18, 55%

3 Type Iy, 17%

4 Types I-III Variation, 70%

5 Type II, 8.29%

6 Type III, 14.7%

CHARTS

7 Ø LAC Ø RCA in the different types of normal heart.

8 Drainage of the left posterior ventricular wall.............

9 Different small cardiac vein types and relationship with anterior cardiac venous system.

10 LCA RCA in different types in atrophy.

11 Anastomotic index in atrophy....

12 LCA RCA in different types in hypertrophy

13 Anastomotic index in hypertrophy

14 Anastomotic index in chronic hypoxia

15 Age and arterio-atherosclerosis, hospital (7)

16 Age and different grades of arterio-atherosclerosis, - hospital (^))

36

37

38

39

40

41

43

67

71

101

108

120

128

131

160

161

Number

17 Age and arterio-atherosclerois, ♂ sudden death (%)-

18 Age and different grades of arterio-atherosclerosis, -, sudden death (%)

19 Age and arterio-atherosclerois, ♂ hospital-♂ sudden death (%) - - -

20 Age and different grades of arterio-atherosclerois, ♂ hospital-♂ sudden death (%).

21 Grades of arterio-atherosclerosis in the principal subepicardial arteries (%)

22 Grades of arterio-atherosclerosis in principal subepicardial arteries in relation to age (%)- 23 Coronary stenosis (grades 1-2)-A.I..

Page

162

163

164

165

172

177

182

24 Coronary stenosis (grades 3-4)-A.I..

183

25 Coronary occlusion-A.I.

26LCA/Ø RCA in different types in relation to stenosing-occlusive atherosclerosis.

184

215

27 Myocardial infarction in relation to age..

225

28 Coronary typology in relation to myocardial infarction, coronary sclerosis, and cases without myocardial and coronary damage..

29 Anastomotic arterial circulation in relation to myocardial damage and coronary occlusion 30 Anastomotic arterial circulation in the normal and the pathologic heart

31 Anastomotic blood flow in normal and in highly stenosed vessel without and with increased peripheral resistance...

32 General diagram of the normal blood supply of the human heart_

226 228

252

260 266

« VorigeDoorgaan »