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Arrhythmias in Common Arterial Trunk(CAT):Uncommon Atrial Tachycardia in CAT with Anomalous Pulmonary Venous Connection and Re-entry Atrial Tachycardia in CAT with HIV Seropositive Mother
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作者 Elio Caruso Silvia Farruggio +4 位作者 Davide Calvaruso Corrado Di Mambro David Angel Ortiz Ruiz Salvatore Agati Rafie Khoargami 《Congenital Heart Disease》 SCIE 2021年第4期417-425,共9页
We show a brief report of two common arterial trunk cases(CAT)with different arrhythmias and discuss anatomy,clinical and diagnostic management.The burden of volume and pressure overload of this cardiac malformation m... We show a brief report of two common arterial trunk cases(CAT)with different arrhythmias and discuss anatomy,clinical and diagnostic management.The burden of volume and pressure overload of this cardiac malformation may predispose to different types of arrhythmia before and after surgical repair.Because of labile hemodynamic state in this group of patients,prompt diagnosis of any arrhythmia is mandatory as the devastating factor on prognosis.The first patient with a diagnosis of CAT Type II Collett and Edwards(CE)had a particular history with HIV seropositive mother assuming antiretroviral therapy during pregnancy,who presented hyperbilirubinemia and liver dysfunction at birth,and re-entry atrial tachycardia after repair.The second patient had CAT Type I CE with a partial anomalous venous connection of left superior pulmonary vein and uncommon type of atrial tachycardia with dual AV nodal physiology. 展开更多
关键词 Common arterial trunk arrhythmia anomalous pulmonary venous connection HIV
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Echocardiographic Diagnosis of Total Anomalous Pulmonary Venous Connection
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作者 谢明星 卢晓芳 +2 位作者 王新房 吕清 杨亚利 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2004年第2期192-195,共4页
To investigate the value of echocardiography in the diagnosis of total anomalous pulmonary venous connection ( TAPVC ), 16 patients in our hospital were diagnosed to have TAPVC by echocardiography from year 1994 to 2... To investigate the value of echocardiography in the diagnosis of total anomalous pulmonary venous connection ( TAPVC ), 16 patients in our hospital were diagnosed to have TAPVC by echocardiography from year 1994 to 2001. In 11 cases the results of echocardiography were compared to those of surgery. Each patient was examined by using a combination of precordial, suprasternal and subcostal windows to visualize all the pulmonary veins and their drainage sites, common pulmonary venous trunk, and other associated abnormalities. Of the 16 cases, the drainage sites were as follow: supracardiac in 10, via vertical vein in 9, directly to superior vena cava in 1; cardiac in 5, via coronary sinus in 2, directly to right atrium in 3. Diagnoses were correctly made in all the 11 cases as confirmed by surgery. Echocardiography can also assess pulmonary arterial pressure and detect other associated abnormalities. It is concluded that echocardiography is the preferred examination method in the diagnosis of TAPVC before surgery. With careful examination using multiple windows and sections, TAPVC can be accurately diagnosed by echocardiography. 展开更多
关键词 ECHOCARDIOGRAPHY total anomalous pulmonary venous connection
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Partial Anomalous Pulmonary Venous Connection and the Nature of Associated Sinus Venosus Defect
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作者 Ling Sun Chengcheng Pang +3 位作者 Xiaoyan Wang Mingguo Xu Zhiwei Zhang Shushui Wang 《Congenital Heart Disease》 SCIE 2022年第2期201-214,共14页
Background:Partial anomalous pulmonary venous connection(PAPVC)is frequently associated with atrial septal defect(ASD),especially sinus venosus defect(SVD).Although Waggstaffe described the pathology of SVDs in 1868,t... Background:Partial anomalous pulmonary venous connection(PAPVC)is frequently associated with atrial septal defect(ASD),especially sinus venosus defect(SVD).Although Waggstaffe described the pathology of SVDs in 1868,the exact anatomic features and the nature of SVD remains controversial.SVDs with no posterior atrial rim were observed in recent years.However,no studies suggested that absence of the residual posterior atrial septal tissue might be the key feature of SVD.The aims of this study were to investigate if absence of posterior rim of atrial septum played a crucial role in patients with SVD.Methods:From January 2011 to December 2019,256 children with PAPVC combined ASD and 878 children with isolated ASD who underwent corrective cardiac surgery were consecutively enrolled.Comprehensive review of preoperative transthoracic echocardiography,computed-tomography images and surgical findings were performed by experienced pediatric cardiologists.The subtypes of PAPVC,locations and types of ASD,and presence of posterior atrial rim of associated ASD were investigated.Results:PAPVC was right-sided in 244 children,left-sided in 6 children,and bilateral in 6 children.In PAPVC cases,ASD without posterior atrial rim existed in 226 SVD cases.ASD without posterior atrial septum only existed in cases with one or more right pulmonary veins returning to right atrium(RA)or to RA-superior vena cava junction.In cases with isolated ASD,there were 3 SVD,and the other 875 cases were secundum ASD.Conclusions:ASD without posterior atrial rims was associated with one or more right pulmonary veins returning to RA or RA-superior venous cava(SVC)junction.For SVD,the key feature is that the defect is in the posterior of the interatrial septum with no posterior septal rim,rather than adjacent to the SVC or to the inferior vena cava. 展开更多
关键词 Partial anomalous pulmonary venous connection sinus venosus atrial septal defect ECHOCARDIOGRAPHY right atrium inferior vena cava
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Alagille syndrome associated with total anomalous pulmonary venous connection and severe xanthomas:A case report
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作者 Han-Shi Zeng Zhan-Hui Zhang +4 位作者 Yan Hu Gui-Lang Zheng Jing Wang Jing-Wen Zhang Yu-Xiong Guo 《World Journal of Clinical Cases》 SCIE 2022年第25期8932-8938,共7页
BACKGROUND Alagille syndrome(ALGS)is an autosomal dominant genetic disorder caused by mutations in the JAG1 or NOTCH2 gene.It is characterized by decreased intrahepatic bile ducts associated with a variety of abnormal... BACKGROUND Alagille syndrome(ALGS)is an autosomal dominant genetic disorder caused by mutations in the JAG1 or NOTCH2 gene.It is characterized by decreased intrahepatic bile ducts associated with a variety of abnormalities in many other organ systems,such as the cardiovascular,skeletal,and urinary systems.CASE SUMMARY We report a rare case of ALGS.A 1-month-old male infant presented with sustained jaundice and had a rare congenital heart disease:Total anomalous pulmonary venous connection(TAPVC).Sustained jaundice,particularly with cardiac murmur,caught our attention.Laboratory tests revealed elevated levels of alanine aminotransferase,aspartate aminotransferase,gamma-glutamyl transpeptidase,total bilirubin,and total bile acids,indicating serious intrahepatic cholestasis.Imaging confirmed the presence of butterfly vertebra at the seventh thoracic vertebra.This suggested ALGS,which was confirmed by genetic testing with a c.3197dupC mutation in the JAG1 gene.Ursodiol was administered immediately after confirmation of the diagnosis,and cardiac surgery was performed when the patient was 1.5 month old.He recovered well after treatment and was discharged at the age of 3 mo.At the age of two years,the patient returned to our clinic because multiple cutaneous nodules with xanthomas appeared,and their size and number increased over time.CONCLUSION We report a unique case of ALGS associated with TAPVC and severe xanthomas.This study has enriched the clinical manifestations of ALGS and emphasized the association between JAG1 gene and TAPVC. 展开更多
关键词 Alagille syndrome JAG1 gene Notch signaling pathway Total anomalous pulmonary venous connection Severe xanthomas Case report
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Coronary Sinus Atrial Septal Defect (Unroofed Coronary Sinus) with Total Anomalous Pulmonary Venous Connection—A Case Report
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作者 Ramachandran Muthiah 《Case Reports in Clinical Medicine》 2017年第1期1-18,共18页
Introduction: To present a rare occurrence of coronary sinus atrial septal defect (ASD) associated with total anomalous pulmonary venous connection (TAPVC). Case Report: A 16-year-old girl was diagnosed with features ... Introduction: To present a rare occurrence of coronary sinus atrial septal defect (ASD) associated with total anomalous pulmonary venous connection (TAPVC). Case Report: A 16-year-old girl was diagnosed with features of an atrial septal defect (ASD) by transthoracic echocardiography and the absence of PLSVC (persistent left superior vena cava) connection to coronary sinus was confirmed by saline contrast echocardiography (“bubble study”). Discussion: The cause of the dilated coronary sinus was due to total anomalous pulmonary venous connection. Conclusion: Coronary sinus atrial septal defect (ASD) is a rare interatrial shunt that is commonly associated with a persistent left superior vena cava (PLSVC) and occurs in less than 1% of cases of ASDs. It is characterized by the absence of at least a portion of the common wall that separates the coronary sinus and left atrium. Isolated defects are associated with low rate of morbidity and mortality. 展开更多
关键词 Ccoronary SINUS ASD Raghib Complex BUBBLE Study Total anomalous pulmonary venous connection (Tapvc)
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Obstructed infracardiac total anomalous pulmonary venous connection:The challenge of palliative stenting for the stenotic vertical vein
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作者 Mansour Al‐Mutairi Adnan Aselan +1 位作者 Mustafa Al‐Muhaya Hany Abo‐Haded 《Pediatric Investigation》 CSCD 2020年第2期141-144,共4页
Introduction Obstructed total anomalous pulmonary venous connection(TAPVC)is one of the commonest seen emergencies in pediatric cardiology centers.Case presentation Our case was diagnosed to have this anomaly,showing ... Introduction Obstructed total anomalous pulmonary venous connection(TAPVC)is one of the commonest seen emergencies in pediatric cardiology centers.Case presentation Our case was diagnosed to have this anomaly,showing early respiratory distress resulting from severe pulmonary congestion.Palliative stenting of the obstruction was done,which helped in stabilizing the debilitated hemodynamics of the baby before surgery,thus a good surgical outcome and prognosis are expected.Conclusion This intervention may be listed as a vital measurement in the preoperative cardiac stabilization plan for infants with obstructed TAPVC. 展开更多
关键词 OBSTRUCTION Total anomalous pulmonary venous connection(Tapvc) Palliative stent
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Surgical outcomes of functional single ventricle with total anomalous pulmonary venous connection
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作者 OU Yan-qiu LIU Xiao-bing +1 位作者 CEN Jian-zheng LIU Xiao-qing 《South China Journal of Cardiology》 CAS 2020年第1期38-46,52,共10页
Background The surgical outcomes have been greatly improved over the past four decades for functional single ventricle(FSV). However,the repair for coexistence of FSV and total anomalous pulmonary venous connection(TA... Background The surgical outcomes have been greatly improved over the past four decades for functional single ventricle(FSV). However,the repair for coexistence of FSV and total anomalous pulmonary venous connection(TAPVC),especially obstructed TAPVC,has remained a clinical challenge. Little is known about the results of surgical treatment for patients with FSV-TAPVC in China. Methods Forty consecutive patients with FSV-TAPVC undergoing initial surgical palliation(median age:16.8 months;body weight:8.25 kg)were retrospectively enrolled from 2006 to 2016 in a specialized cardiovascular institute. TAPVC was repaired in 30 patients. The mean follow-up period was 49 months. Results All of the 7 patients with preoperative pulmonary vein obstruction(PVO)underwent repair of TAPVC at the first operation and survived. When a systemic to pulmonary(S-P)shunt or pulmonary artery banding(PAB)was necessary,patients with concomitant TAPVC repair had lower mortality(30.0%)and higher total cavopulmonary connection completion rate(20.0%)than those without TAPVC repair[75.0% and 0%,respectively],although with no statistical significance(Fisher test,P=0.505 and P=0.245). The overall survival rates for the cohort at 1,3 and 5 years after the initial surgical intervention were 80.0%,77.1% and 77.1%,respectively. Multivariate COX regression analysis detected that SP shunt(adjusted odds ratio:6.51;95%CI:1.26-33.71,P=0.030)is the only risk factor for survival. The reintervention rate for postoperative PVO was higher in patients with preoperative PVO than those without(57.1%vs. 4.3%,Log Rank:P=0.006). Conclusion The mid-term results of surgical repair of FSV-TAPVC are still challenging. When PVO exists,surgical repair for TAPVC is suggested as soon as possible. Repair for TAPVC should also be considered when S-P shunt or PAB is necessary. Further study with larger population are warranted to support our finding. 展开更多
关键词 congenital heart defects functional single ventricle total anomalous pulmonary venous connection sutureless technique
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Long-Term Outcomes of Systemic-to-Pulmonary Artery Shunt in Patients with Functional Single Ventricle and Heterotaxy Syndrome
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作者 Shota Kawai Takashi Kido +6 位作者 Yuta Teguri Koji Miwa Tomomitsu Kanaya Yoichiro Ishii Hisaaki Aoki Futoshi Kayatani Sanae Tsumura 《Congenital Heart Disease》 SCIE 2023年第4期399-411,共13页
Objectives: We sought to determine the long-term outcomes and mortality-associated factors after systemic-topulmonaryartery shunt (SPS) in patients with heterotaxy syndrome. Methods: We retrospectively analyzed allpat... Objectives: We sought to determine the long-term outcomes and mortality-associated factors after systemic-topulmonaryartery shunt (SPS) in patients with heterotaxy syndrome. Methods: We retrospectively analyzed allpatients with a functional single ventricle and heterotaxy syndrome who underwent SPS at our center from January2001 to April 2022. Results: This study involved 84 patients. Restrictive pulmonary blood flow requiringearly modulation was presented in 34 (40%) patients. Compared with patients without restrictive pulmonaryblood flow (N = 50 [60%]), the postnatal survival of these 34 patients was significantly lower at 10 years (log rank:p = 0.04), but the statistical significance disappeared at 20 years (log rank: p = 0.18). Among 31 patients whounderwent SPS, 11 (35%) had extracardiac total anomalous pulmonary venous connection (TAPVC). The survivalrate after SPS was 80% at 10 years. Cox regression analysis showed that extracardiac TAPVC (hazard ratio6.44, 95% confidence interval 1.23–33.7, p = 0.03) and pulmonary venous obstruction (PVO) at TAPVC repair(hazard ratio 11.2, 95% confidence interval 2.13–58.5, p = 0.004) were significantly associated with death. In25 patients who underwent bidirectional cavopulmonary shunt (BCPS), surgical interventions on the pulmonaryartery (PA) were performed after SPS in 7 of 9 patients with PA coarctation, 3 of 4 with non-confluent PAs, and4 of 12 with normal PAs. At SPS, primary central PA plasty was performed in three patients with PA coarctationand 2 with non-confluent PAs. There was no significant difference in the PA index before BCPS between patientswith and without primary central PA plasty (p = 0.49). Among 20 patients who underwent total cavopulmonaryconnection (TCPC), adverse events occurred in 7 (35%) patients, including death in 1 (5%), intervention for pulmonaryarteriovenous malformation (PAVM) in 3 (15%), and surgical intervention for PVO in 3 (15%). TheB-type natriuretic peptide concentration was significantly higher in patients with than without adverse events(p = 0.02). The adverse event-free survival rate after TCPC was 69% at 10 years. Conclusion: ExtracardiacTAPVC and PVO at TAPVC repair were significantly associated with death after SPS in patients who had heterotaxysyndrome with a single ventricle. Surgical interventions on the PA were frequently required after SPS inpatients with PA coarctation or non-confluent PAs. Although satisfactory survival was achievable after TCPC,late-onset PAVM and PVO remain concerns. 展开更多
关键词 Heterotaxy syndrome single ventricle total anomalous of pulmonary venous connection pulmonary artery coarctation
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超声心动图在评估完全型肺静脉异位引流合并限制型与非限制型房间隔交通中的应用价值分析 被引量:1
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作者 莫莹 丁文虹 +2 位作者 李刚 王霄芳 王强 《中国医药》 2024年第2期185-188,共4页
目的 总结超声心动图在评估完全型肺静脉异位引流(TAPVC)合并限制型与非限制型房间隔交通中的应用价值。方法 对2020年1月至2022年6月在首都医科大学附属北京安贞医院经外科手术确诊的49例TAPVC患者的超声心动图及临床资料进行回顾性分... 目的 总结超声心动图在评估完全型肺静脉异位引流(TAPVC)合并限制型与非限制型房间隔交通中的应用价值。方法 对2020年1月至2022年6月在首都医科大学附属北京安贞医院经外科手术确诊的49例TAPVC患者的超声心动图及临床资料进行回顾性分析。设定超声心动图测量房间隔交通≤5 mm为限制型房间隔交通,将患者分为限制组(23例)和非限制组(26例)。分别于术前及术后1、3个月行超声心动图检查,测量左心室内径(LVD)、右心室内径(RVD)、三尖瓣反流峰值压差(PTR)。分析并比较2组患者术前、术后心室内径和PTR的变化。结果 49例患者术前超声心动图诊断均与手术诊断一致,符合率100%。术前,限制组LVD、LVD/RVD比值明显低于非限制组,而PTR、RVD则明显高于非限制组,差异均有统计学意义(均P<0.01)。术后1、3个月2组PTR、RVD和LVD/RVD比值比较差异均无统计学意义(均P>0.05),限制组LVD小于非限制组[(19.3±4.2)mm比(22.3±4.6)mm、(22.6±3.8)mm比(25.9±3.7)mm],差异均有统计学意义(均P<0.05)。结论 超声心动图是诊断TAPVC的首选及准确的检查方法,早期诊断有利于尽早手术治疗,并能有效评价心脏容量改变及肺动脉高压下降情况,具有较高的临床应用价值。 展开更多
关键词 完全型肺静脉异位引流 房间隔缺损 超声心动图
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产时手术矫治危重先天性心脏病1例
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作者 李刚 赵举 +5 位作者 王晟 贺彦 李燕娜 车辑 袁慧 王强 《中国医药》 2024年第5期755-757,共3页
危重先天性心脏病(先心病)患儿生后即面临生命危险,一旦病情恶化,预后极差。针对这种术后危重状态可能导致的严重不良后果,在1例入住首都医科大学附属北京安贞医院的胎儿心脏结构异常孕妇的诊疗中我们首次选择新生儿娩出后即启动手术的... 危重先天性心脏病(先心病)患儿生后即面临生命危险,一旦病情恶化,预后极差。针对这种术后危重状态可能导致的严重不良后果,在1例入住首都医科大学附属北京安贞医院的胎儿心脏结构异常孕妇的诊疗中我们首次选择新生儿娩出后即启动手术的多学科救治模式,来规避术前的高风险。母孕期胎儿诊断为完全型肺静脉异位引流,于本院经剖宫产娩出胎儿后,立即转入心脏手术室,明确诊断,完成必要术前检查后开始麻醉,完成手术矫治,手术过程、术后恢复顺利。该救治模式通过新生儿娩出后即刻的早期手术有望改善危重先心病患儿的预后,降低死亡率,提高远期健康水平。 展开更多
关键词 先天性心脏病 完全型肺静脉异位引流 新生儿
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超声下左心房后空间距离对胎儿完全性肺静脉异位引流的诊断价值
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作者 彭纪龙 周盛 李炜 《医疗装备》 2024年第18期12-14,23,共4页
目的探讨超声检测左房后空间距离对胎儿完全性肺静脉异位引流(TAPVC)的诊断价值。方法选取2020年3月至2021年8月于医院行孕中期胎儿结构筛查的362名孕产妇为研究对象,均以彩色多普勒超声诊断仪于标准四腔心切面的收缩末期进行左房后空... 目的探讨超声检测左房后空间距离对胎儿完全性肺静脉异位引流(TAPVC)的诊断价值。方法选取2020年3月至2021年8月于医院行孕中期胎儿结构筛查的362名孕产妇为研究对象,均以彩色多普勒超声诊断仪于标准四腔心切面的收缩末期进行左房后空间距离测定。以产后胎儿超声心动图检查或引产后胎儿尸检结果为金标准,统计心脏超声检查结果、胎儿左心房后空间距离、胎儿TAPVC心脏超声检查特征,分析左心房后空间距离与孕周及新生儿出生Apgar评分的相关性。结果362名孕产妇中,7例通过超声诊断为心上型胎儿TAPVC,4例诊断为心内型胎儿TAPVC;TAPVC胎儿的左心房后空间距离大于正常胎儿(P<0.05);左心房后空间距离与孕周、新生儿出生Apgar评分呈负相关(r=-0.658、-0.747,P<0.05)。结论超声下测定左心房后空间距离可用于诊断胎儿TAPVC,且其结果与孕周及新生儿出生Apgar评分均呈负相关。 展开更多
关键词 胎儿 超声 左心房后空间距离 完全性肺静脉异位引流
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137例婴幼儿完全性肺静脉异位引流各年龄段临床特点和外科疗效分析 被引量:32
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作者 张惠丽 李守军 +3 位作者 胡盛寿 刘迎龙 沈向东 闫军 《中国循环杂志》 CSCD 北大核心 2008年第5期381-384,共4页
目的:探讨婴幼儿完全性肺静脉异位引流(TAPVC)各年龄段的临床特点和外科治疗效果。方法:2000-01至2006-12诊断TAPVC并在我院进行手术治疗的婴幼儿(除外合并法乐四联症、右心室双出口、完全性房室通道、单心室等复杂畸形的患儿)共137例... 目的:探讨婴幼儿完全性肺静脉异位引流(TAPVC)各年龄段的临床特点和外科治疗效果。方法:2000-01至2006-12诊断TAPVC并在我院进行手术治疗的婴幼儿(除外合并法乐四联症、右心室双出口、完全性房室通道、单心室等复杂畸形的患儿)共137例。分为≤28天新生儿组(组1,n=7)、>28天~≤6个月组(组2,n=70)、>6个月~≤1岁组(组3,n=26)、>1岁~≤3岁组(组4,n=34)4个年龄组。137例患儿伴房间隔缺损119例,卵圆孔未闭18例,动脉导管未闭27例,室间隔缺损2例,三尖瓣关闭不全103例。合并重度肺动脉高压50.4%(69/137),其中≤6个月患儿(组1、组2)占71.0%(49/69)。心上型49.6%(68/137),心内型37.2%(51/137),心下型1.5%(2/137),混合型11.7%(16/137)。合并肺静脉狭窄18.2%(25/137),其中≤6个月患儿(组1、组2)占88.0%(22/25)。结果:手术死亡率11.7%(16/137),组1和组2占87.5%(14/16)。主要死亡原因为肺部感染和低心排综合征。有随访资料99例,随访率81.8%(99/121),随访期限2~86个月,平均(25.5±22.3)个月。晚期死亡9例,均为组1和组2患儿,晚期死亡率9.1%(9/99)。结论:年龄>6个月的TAPVC患儿可获得满意的外科治疗效果,而年龄≤6个月尤其是新生儿患儿病情重,合并限制性房间隔缺损、肺静脉狭窄和重度肺动脉高压比例高,往往需要急诊手术,手术及远期死亡率较高。 展开更多
关键词 婴幼儿 完全性肺静脉异位引流 手术治疗 随访
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完全性肺静脉畸形引流的彩色多普勒超声诊断 被引量:20
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作者 唐红 刘淑华 +2 位作者 饶莉 曾静 黄承孝 《华西医学》 CAS 2002年第2期174-175,共2页
目的 :探讨彩色多普勒超声诊断完全性肺静脉畸形引流 (TAPVC)的价值。方法 :应用HP2 5 0 0、Angilet5 5 0 0型彩色多普勒超声诊断仪检查 7例TAPVC患者 ,常规行二维超声心动图及彩色多普勒血流显像检查 ,主要观察心腔大小、肺静脉左房开... 目的 :探讨彩色多普勒超声诊断完全性肺静脉畸形引流 (TAPVC)的价值。方法 :应用HP2 5 0 0、Angilet5 5 0 0型彩色多普勒超声诊断仪检查 7例TAPVC患者 ,常规行二维超声心动图及彩色多普勒血流显像检查 ,主要观察心腔大小、肺静脉左房开口、房间隔缺损部位、大小及分流方向 ,跟踪扫查共同静脉干的走行及开口部位。结果 :7例TAPVC患者中 ,心上型 5例 (ⅠA1例 ,ⅠB1例 ) ,心内型 2例 (ⅡA1例 ,ⅡB1例 ) ,检查发现本组患者均有右房、右室明显增大 ,左房、左室较小 ;继发孔型房间隔缺损 ;左房内不能探及肺静脉开口 ,在心脏后方探及一粗大管道 (CPV) ,其结果与手术完全一致 ,彩色多普勒超声正确显示TAPVC部位。结论 :应用彩色多普勒超声可确定TAPVC的诊断和分型 ,为制定手术方案提供重要依据。 展开更多
关键词 完全性肺静脉畸形 超声心动图 彩色多普勒 先天性心脏病 Tapvc 引流术
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混合型肺静脉异位引流的彩色多普勒超声心动图诊断 被引量:13
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作者 张志芳 张玉奇 +3 位作者 孙锟 朱善良 陈笋 沈蓉 《医学影像学杂志》 2005年第10期860-862,共3页
目的:探讨彩色多普勒超声心动图对混合型肺静脉异位引流(MTAPVC)的诊断价值。方法:经心导管及手术证实为MTAPVC的11例患者为研究对象,回顾性分析其超声心动图。结果:患者可分三种类型:A型(心上型合并心内型)8例;B型(心上型合并心下型)2... 目的:探讨彩色多普勒超声心动图对混合型肺静脉异位引流(MTAPVC)的诊断价值。方法:经心导管及手术证实为MTAPVC的11例患者为研究对象,回顾性分析其超声心动图。结果:患者可分三种类型:A型(心上型合并心内型)8例;B型(心上型合并心下型)2例;C型(心上型,合并有两个回流部位)1例。彩色多普勒超声心动图对MTAPVC诊断的正确率为81%(9/11)。结论:如能多部位、多切面仔细观察,彩色多普勒超声心动图可以比较准确地诊断混合型完全性肺静脉异位引流。 展开更多
关键词 完全性肺静脉异位引流 混合型 超声心动图
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心下型完全性和部分性肺静脉异位引流的超声诊断经验 被引量:12
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作者 王燕 王浩 +4 位作者 段福建 朱振辉 逄坤静 李永青 孟红 《中国循环杂志》 CSCD 北大核心 2014年第3期206-208,共3页
目的:与外科手术结果对比分析,探讨超声心动图在心下型完全性和部分性肺静脉异位引流诊断中的应用。方法:2008-01至2012-12,经外科手术证实为心下型肺静脉异位引流的7例患者为研究对象,其中6例为完全性肺静脉异位引流,1例为部分性肺静... 目的:与外科手术结果对比分析,探讨超声心动图在心下型完全性和部分性肺静脉异位引流诊断中的应用。方法:2008-01至2012-12,经外科手术证实为心下型肺静脉异位引流的7例患者为研究对象,其中6例为完全性肺静脉异位引流,1例为部分性肺静脉异位引流,分析其超声心动图表现及诊断要点,与外科手术结果对比分析。结果:6例心下型完全性肺静脉异位引流患儿中,超声心动图均明确诊断,超声心动图诊断要点为共同肺静脉干走行向右下穿过膈肌,汇入门静脉或下腔静脉,但4例患儿合并动脉导管未闭,2例合并肺静脉狭窄,超声心动图仅提示1例肺静脉流速偏快。1例心下型部分性肺静脉异位引流患者,初次超声漏诊,术前复查时参考磁共振成像结果,发现异位引流的肺静脉走行途径。结论:超声心动图可以发现心下型完全性肺静脉异位引流的异常血流走行及汇入部位,可以准确诊断心下型完全性肺静脉异位引流,并具有无创、简便等优点,但应注意肺静脉狭窄等合并畸形的诊断。应加强对心下型部分性肺静脉异位引流的认识,有意识去剑突下切面探查以提高其诊断率。 展开更多
关键词 心下型肺静脉异位引流 超声心动图 诊断
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完全型肺静脉异位引流的超声心动图诊断及漏误诊分析 被引量:12
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作者 袁国珍 隋桂玲 +3 位作者 胡军利 范东晨 王洪军 王少春 《医学影像学杂志》 2018年第8期1299-1302,共4页
目的探讨完全型肺静脉异位引流(TAPVC)的超声心动图诊断要点及漏误诊分析。方法回顾性分析经手术证实的41例TAPVC患者的超声心动图特征,并与手术结果进行对照。结果心上型22例,心内型13例,心下型2例,混合型4例;超声心动图诊断TAPVC40例... 目的探讨完全型肺静脉异位引流(TAPVC)的超声心动图诊断要点及漏误诊分析。方法回顾性分析经手术证实的41例TAPVC患者的超声心动图特征,并与手术结果进行对照。结果心上型22例,心内型13例,心下型2例,混合型4例;超声心动图诊断TAPVC40例,诊断符合率为97. 6%(40/41),4例混合型超声漏诊部分引流途径,误诊1例,超声确切诊断符合率为87. 8%(36/41)。结论超声心动图可以准确诊断完全型肺静脉异位引流,混合型易漏诊部分引流途径,联合CT血管成像可提高混合型TAPVC诊断准确率。 展开更多
关键词 完全型肺静脉异位引流 诊断 超声心动描记术
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完全性肺静脉异位引流诊断探讨(附91例报告) 被引量:14
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作者 杨健萍 周爱卿 +5 位作者 李筠 黄美蓉 高伟 余志庆 李奋 王荣发 《中国医学影像技术》 CSCD 2003年第8期1013-1015,共3页
目的 探讨完全性肺静脉异位引流 (TAPVC)诊断方法。方法 总结 1986年 10月 -2 0 0 2年 2月收治入院的91例TAPVC的临床及辅助检查资料。结果 超声心动图与心导管造影比较诊断符合率 10 0 % ,引流位置准确率为 96.7%( 88/91)。 91例进... 目的 探讨完全性肺静脉异位引流 (TAPVC)诊断方法。方法 总结 1986年 10月 -2 0 0 2年 2月收治入院的91例TAPVC的临床及辅助检查资料。结果 超声心动图与心导管造影比较诊断符合率 10 0 % ,引流位置准确率为 96.7%( 88/91)。 91例进行心导管造影检查明确了类型。 1例心下型TAPVC行MRI检查 ,清楚地显示了肺静脉回流情况及伴发畸形 ,与心导管造影结果一致。结论 心导管造影对本病是一个重要的检查手段 ,尤其对一些复杂型TAPVC、年龄大、临床症状重的患儿 ,为其外科手术提供了正确的解剖及生理数据。超声心动图能较准确地反映完全性肺静脉异位引流部位及其类型 ,但必须在超声心动图能明确排除有混合性异位引流或复杂畸形时才可直接手术。磁共振 (MRI)新技术应用于临床为本病的诊断提供了新方法并弥补了心导管造影的不足 ,尤其是心下型者。 展开更多
关键词 超声心动图 心导管造影 磁共振 完全性肺静脉异位引流
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超声心动图诊断胎儿完全型肺静脉异位引流 被引量:14
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作者 苏晓婷 王志斌 +1 位作者 陈涛涛 孙玲玉 《中国医学影像技术》 CSCD 北大核心 2015年第9期1374-1378,共5页
目的探讨胎儿完全型肺静脉异位引流(TAPVC)产前诊断线索及超声心动图特征。方法回顾性分析于我院经超声诊断并经尸体检查或出生后超声心动图证实的14胎TAPVC胎儿的二维及多普勒图像的特征。结果产前诊断12胎TAPVC,其中心上型9胎,心内型2... 目的探讨胎儿完全型肺静脉异位引流(TAPVC)产前诊断线索及超声心动图特征。方法回顾性分析于我院经超声诊断并经尸体检查或出生后超声心动图证实的14胎TAPVC胎儿的二维及多普勒图像的特征。结果产前诊断12胎TAPVC,其中心上型9胎,心内型2胎,心下型1胎。TAPVC的产前诊断线索及超声心动图特征:二维超声四腔心切面未显示肺静脉角,左心房后壁光滑;左心房后壁与降主动脉间距离增大;可见共同肺静脉腔和垂直静脉。产前超声心动图漏诊2胎,经出生后超声心动图证实均为心内型TAPVC。14胎TAPVC中,4胎伴肺静脉引流途径梗阻。结论胎儿超声心动图可诊断TAPVC并准确分型;脉冲和彩色多普勒超声可显示肺静脉回流途径梗阻。 展开更多
关键词 胎儿 超声心动描记术 完全型肺静脉异位引流
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超声心动图诊断胎儿孤立性完全性肺静脉异位引流 被引量:8
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作者 王新霞 栗河舟 +3 位作者 张玉奇 王铭 刘云 林杉 《中国医学影像技术》 CSCD 北大核心 2016年第4期578-581,共4页
目的探讨超声心动图诊断胎儿孤立性完全性肺静脉异位引流(TAPVC)的价值。方法回顾性分析17例胎儿孤立性TAPVC的产前超声资料,观察分析其二维超声心动图及CDFI表现,测量TAPVC胎儿左心室与右心室横径比值(LV/RV)、左心房与右心房横径... 目的探讨超声心动图诊断胎儿孤立性完全性肺静脉异位引流(TAPVC)的价值。方法回顾性分析17例胎儿孤立性TAPVC的产前超声资料,观察分析其二维超声心动图及CDFI表现,测量TAPVC胎儿左心室与右心室横径比值(LV/RV)、左心房与右心房横径比值(LA/RA),并与同孕周正常胎儿预测值进行统计学比较。结果 15例孤立性TAPVC胎儿中,心上型9例,心内型4例,心下型2例;4例见血流梗阻,其中心上型3例,心下型1例,CDFI示梗阻处血流信号明亮,梗阻处流速1.0~1.6m/s。15例孤立性TAPVC胎儿的LV/RV为0.75~0.99,平均0.88±0.08,小于同孕周正常胎儿预测值(t=-3.305,P=0.005)。LA/RA为0.68~1.00,平均0.84±0.11,亦小于同孕周正常胎儿预测值(t=-3.320,P=0.005)。结论超声心动图可用以胎儿期诊断孤立性TAPVC。 展开更多
关键词 胎儿 完全性肺静脉异位引流 超声心动描记术
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心脾综合征合并肺静脉回流异常的超声心动图诊断 被引量:9
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作者 沈蓉 张玉奇 +5 位作者 蔡及明 朱俊学 张志芳 陈笋 姚莉萍 吴兰平 《中国医学影像技术》 CSCD 北大核心 2007年第11期1648-1650,共3页
目的探讨超声心动图对心脾综合征合并肺静脉回流异常的诊断价值,分析其漏诊及误诊原因,提高诊断的准确率。方法本文总结了190例心脾综合征患儿肺静脉回流情况的超声检测结果,并与其心血管造影或磁共振检查结果进行对照。结果190例心脾... 目的探讨超声心动图对心脾综合征合并肺静脉回流异常的诊断价值,分析其漏诊及误诊原因,提高诊断的准确率。方法本文总结了190例心脾综合征患儿肺静脉回流情况的超声检测结果,并与其心血管造影或磁共振检查结果进行对照。结果190例心脾综合征患儿中,无脾综合征159例,其中61例合并肺静脉回流异常(占38.3%),多脾综合征31例,其中5例合并肺静脉回流异常(占16.1%)。66例患儿合并肺静脉回流异常,超声诊断符合者17例(占25.7%),漏误诊49例(占74.3%);66例肺静脉回流异常患儿中,伴有明显异常回流途径者17例,超声诊断15例(占88.2%)。结论无脾综合征患儿常合并肺静脉回流异常。超声心动图可以较准确地诊断心脾综合征伴有明显异常回流途径的肺静脉异位引流,其他类型肺静脉回流异常检出的准确率尚待进一步提高。 展开更多
关键词 心脾综合征 肺静脉回流异常 超声心动图描记术
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