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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/4152

Title :[原著]冠肺動脈瘻を伴った一卵性双生児の一症例
Title alternative :One case of monozygotic twins with anomalous origin of coronary artery from pulmonary trunk
Authors :伊禮, 基治
長嶺, 文雄
砂川, 隆二
宮城, 茂
嘉手納, 満男
具志堅, 政道
川根, 浩三
大浦, 孝
三村, 悟郎
古謝, 景春
Authors alternative :Irei, Motoharu
Nagamine, Fumio
Sunagawa, Ryugi
Miyagi, Shigeru
Kadena, Mitsuo
Gushiken, Masamichi
Kawane, Kozo
Oura, Takashi
Mimura, Goro
Koja, Kageharu
Authors affiliation :琉球大学医学部第2内科
Issue Date :1982
Publisher :琉球大学医学部
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :0285-9270
Abstract :We reported a case of anomalous origin of coronary artery from pulmonary trunk. This patient was a high aged woman ( 79 years old ) and thought to be one of the monozygotic twins. The most important finding of physical examination was continuous murmur audible characterized especially by superficiality and localization. Correct diagnosis was done by selective coronary angiography, but coronary arterio-venous fistula should be thought to exist when the abnormal dilation of main stem of coronary artery was shown by supravalvular aortography. This patient had an anomaly of coronary artery, but her sister (another of the monozygotic twins) had normal coronary artery. This result indicates that the cause of anomalous origin of coronary artery fistula from pulmonary trunk may not be genetic factor, but some uterine factor or factors as yet unknown. There are no reports of coronary artery fistula in the monozygotic twins, therefore this case is very valuable.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/4152
Citation :琉球大学保健学医学雑誌=Ryukyu University Journal of Health Sciences and Medicine Vol.5 no.2 p.149 -156
Appears in Collections:Ryukyu University Journal of Health Sciences and Medicine

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