先天性心脏病伴冠状动脉高位开口的影像学诊断

Congenital heart disease with high origin of coronary artery

目的 报道 6例先天性心脏病伴冠状动脉高位开口病例 ,并评价其影像诊断方法。方法 6例均做了心血管造影与超声检查 ,其中 2例还做了MR检查。 6例均经手术证实。结果 6例均为右冠状动脉高位开口 ,心血管造影正确诊断了全部冠状动脉高位开口 ,2例MR检查诊断了其中1例冠状动脉高位开口 ,心脏超声检查诊断了 1例冠状动脉高位开口。结论 正确诊断冠状动脉高位开口对先天性心脏病的手术治疗很重要 ,各种影像诊断方法中 ,心血管造影最可靠 。

Objective To report 6 cases of congenital heart disease with high origin of coronary artery and to evaluate the imaging method for diagnosis of congenital high origin of coronary artery. Methods Six patients with congenital high origin of coronary artery underwent angiocardiography ,echocardiography ,and 2 patients also underwent magnetic resonance examination. All 6 cases were confirmed by operation. Results All 6 cases were congenital high origin of right coronary artery. Angiocardiography made correct diagnosis in all 6 cases; MRI made the correct diagnosis in 1 of the 2 cases; echocardiography made 1 correct diagnosis. Conclusion Correct diagnosis of congenital high origin of coronary artery was very important for patients with congenital heart disease. Angiocardiography was a very reliable imaging method and MRI can play an important role in preoperative diagnosis of congenital high origin of coronary artery.