摘要
目的探讨超声心动图对冠状动脉瘘的诊断价值。方法回顾性分析12例经手术或介入治疗证实为冠状动脉瘘的超声心动图的声像图表现。结果12例冠状动脉瘘中,右冠状动脉瘘9例,包括右冠状动脉右室瘘6例,右冠状动脉右房瘘1例,右冠状动脉肺动脉瘘1例,右冠状动脉左室瘘1例。左冠状动脉瘘3例,其中左冠状动脉肺动脉瘘1例,左冠状动脉右室瘘1例,左冠状动脉左室瘘1例。超声心动图均清楚显示12例冠状动脉瘘的起源、走行和引流部位。结论超声心动图诊断冠状动脉瘘具有特异性,且简便、准确,可作为诊断冠状动脉瘘的首选影像学检查方法。
Objective To evaluate the diagnostic value of echocardiography in coronary artery tlstula （CAF）. Methods Ultrasonographic features of 12 CAFs confirmed with surgical operation and/or coronary artery angiography were analyzed retrospectively. Results Right CAFs were detected in nine patients：six of them had drainges to the right ventricle,one to the main pulmonary artery,one to the right atrium,and the other to the left ventricle. CAFs arising from the left coronary artery were noted in three patients drainaging to the main pulmonary artery,to the right ventricle and to the left ventricle respectively. Conclusion Echocardiography is a simple,reliable technique with a specific diagnostic value for CAF.It may be the first line imaging modality in the diagnosis of CAF.
出处
《上海医学影像》
2007年第3期200-201,F0003,共3页
Shanghai Medical Imaging
关键词
超声心动图
冠状动脉瘘
诊断
Echocardiography
Coronary artery fistula
Diagnosis
