摘要
目的:评价超声(US)和64层螺旋CT(64-MSCT)血管造影对先天性冠状动脉瘘(CAF)的诊断价值。方法:回顾性分析7例手术证实冠状动脉瘘的US(7例)和64-MSCT(3例),分析其影像表现及特点。结果:病变均为单侧性(右侧3例,左侧4例),引流入右心肺动脉系统4例,左心3例。征象包括扩大的冠状动脉及其起源、瘘口及注入心腔或大血管腔;US可观察其血流动力学变化,64-MSCT能显示其病变整体、周围结构及钙化。结论:US可作为先天性冠状动脉瘘的常规检查,64-MSCT显示病变全面,可作为补充选择。
Purposes： To evaluate ultrasound （US） and 64- multislice computed tomography （64- MSCT） in diagnosing congenital coronary artery fistula（CAF）. Methods：Clinical data of 7 cases with CAF confirmed by surgical operation were retrospectively analyzed, and image features of CAF shown by US in 7 cases and 64 - MSCT in 3 were compared. Results：Seven patients with CAF were correctly diagnosed by US, of which 3 cases also by 64 - MSCT. They were found only at unilateral coronary artery（CA）, 3 cases were in the right side and 4 were in the left. CAF drained into the right heart or lung artery system in 4 cases and into the left heart in 3. Both US and 64 - MSCT can show the enlarged coronary arteries and its origin, fistula and draining antrum or ventricle or blood vessel. US is advantageous in observing the cardiovascular dynamics and 64- MSCT in showing the whole pathology and peripheral structure or calcification. Conclusion：US can act as the routine examination of CAF, and 64 - MSCT can provide more information for the choice of surgery.
出处
《中国医学计算机成像杂志》
CSCD
北大核心
2009年第4期323-326,共4页
Chinese Computed Medical Imaging
基金
厦门市医学卫生科研基金项目(WSK0622)
关键词
冠状动脉
畸形
超声
多层螺旋CT
Coronary Artery, Anomaly
Ultrasound
64 - multislice computed tomography
