先天性心脏病共同动脉干的造影诊断

Truncus Arteriosus Angiocardiographic Study of 13 Cases

本文报告13例共同动脉干畸形的造影所见,并与5例手术所见做了对照,证明造影能较详细地反映本症的病理及病理生理状态。结合外科治疗的需要,对其肺循环情况,共同动脉干的起始心室、干瓣的结构及功能以及冠状动脉异常等问题做了重点讨论。造影上本症主要应与右室双出口、法乐氏四联症及主肺间隔缺损鉴别。造影方法上强调选择性共同动脉干内造影的重要性。

The angiocardiographic findings of 13 patients with truncus arteriosus(TA) were analysed and correlated with operative manifestation in 5 cases. It was showed that the angiocardiography may reflect the pathologic and pathophysiologic state of truncus arteriosus in detail. Considering the necessity of surgical therapy, certain problems including pulmonary circulation, which of ventricles the TA originated from, structure and function of TA valve, and coronary arterial anomalies were discussed thoroughly. This entity should distinguish from double outlet right ventricle, Tetralogy of Fallot and aortopulmonary window angiocadiographically. Selective TA injection was emphasized concerning angiocardiographic methods.