CAJ | 학술논문

目的评价心血管造影对右心室双出口的诊断价值.方法收集11例右心室双出口患者的临床及心血管造影资料并进行回顾性分析.全部患者均行X线、心电图、超声心动图心导管及心血管造影检查.结果所有患者的心血管造影诊断与术后诊断完全相符,符合率为100％.11例主动脉、肺动脉同时显影,两大动脉起自右心室.8例室间隔缺损,3例心内膜垫缺损.其中5例室间隔缺损位于肺动脉瓣下,同时并右冠状动脉异位开口;3例室间隔缺损位于主动脉、肺动脉之间,同时合并左右心房互换、永存左上腔静脉;2例室间隔缺损远离肺动脉和主动脉,肺动脉发育差.另1例心内膜垫缺损合并二尖瓣、三尖瓣重度关闭不全.结论心血管造影对右心室双出口及合并畸形可做出较准确诊断.
목적 평개심혈관조영대우심실쌍출구적진단개치.방법 수집11례우심실쌍출구환자적림상급심혈관조영자료병진행회고성분석.전부환자균행X선、심전도、초성심동도심도관급심혈관조영검사.결과 소유환자적심혈관조영진단여술후진단완전상부,부합솔위100％.11례주동맥、폐동맥동시현영,량대동맥기자우심실.8례실간격결손,3례심내막점결손.기중5례실간격결손위우폐동맥판하,동시병우관상동맥이위개구;3례실간격결손위우주동맥、폐동맥지간,동시합병좌우심방호환、영존좌상강정맥;2례실간격결손원리폐동맥화주동맥,폐동맥발육차.령1례심내막점결손합병이첨판、삼첨판중도관폐불전.결론 심혈관조영대우심실쌍출구급합병기형가주출교준학진단.
Objective To report 11 cases of double outlet of right ventricles and to evaluate the methods of angiography.Methods Angiocardiographies of 11 patients were collected.All patients underwent X-ray film,electro-cardiography,echocardiography,cardiac catheterization and angiocardiography.Results The coincidence rate between angiography and operation was 100％.Angiographies were performed in 11 patients.Both great arteries(Aorta and Pulmonary Artery) originated from the right ventricle in all the cases.8 patients had ventricular septal defect(VSD) and 3 patients had endocardial cushion defect.Five cases of the VSDs were found under the valve of pulmonary artery and were accompanied with anomalous origin of the right coronary artery;3 cases of the VSDs were found to be between the aorta and pulmonary artery and were accompanied with position interchange of two atria and persistent left superior vena cava;2 eases of the VSDs were found being away from aorta and pulmonary artery as well as agenesis of pulmonary artery.The last case of the endocrinal cushion defect were accompanied with mitral valve insufficiency and severe tricuspid insufficiency.Conclusion Angiography can provide accurate diagnosis of double outlet of right ventricles and accompanied malformation.