103例完全性大动脉转位的冠状动脉解剖类型分析  

The complete transposition of great arteries:coronary artery anatomy of 103 cases

作　　者：黄美蓉[1] 陈树宝[1] 高伟[1] 杨健萍[1] 李筠[1] 

机构地区：[1]上海交通大学医学院附属新华医院上海儿童医学中心,上海200127

出　　处：《中国临床解剖学杂志》2007年第6期653-655,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的:总结103例大动脉转位手术病例及自然死亡病例,就TGA的冠状动脉解剖类型、变异冠状动脉发生率与合并心内畸型的关系等作一分析。方法:103例病例分成两组:A组,室间隔完整(TGA+IVS)共54例,B组,伴有室间隔缺损(TGA+VSD)共48例。其中86例作了大动脉转换解剖纠治术,术中直视下观察冠状动脉走向,其余17例为未及手术的自然死亡病例,均作尸体解剖。结果:103例中共发现了7种不同的冠状动脉解剖类型,变异冠状动脉的发生率为21.3%(A组为16.7%,B组为26.5%);各种变异冠状动脉中以右冠状窦双支冠状动脉(6.8%)和右冠状窦单支冠状动脉(5.8%)最为多见。结论:本组103例TGA中变异冠状动脉的发生率21.3%,TGA/VSD变异冠状动脉的发生率高于TGA/IVS者。Objotedve： To summary anatomic features of coronary artery of dead cases suffering from the complete transposition of great arteries （D-TGA）. Methods： 103 cases of D-TGA were divided into 2 groups： 54 cases （group 1） with intact ventricular septum （TGA/1VS） and 49 cases （group 2） with ventricular septum defect （TGA/VSD）. Among them, 86 accepted switch operation and other 17 without operation were autopsied after their death. Results： Twenty-two atypical coronaries with 7 different pattems were found out in 103 cases （21.3%）. The incidences of atypical coronary artery were 16.7% in group 1 and 26.5% in group 2 respectively. Single right coronary artery and two separate coronary arteries originated from right coronary sinus were main variations. Conclusions： The incidence of atypical coronary artery of D-TGA in 103 cases reached 21.3%, which was higher in TGA NSD than that in TGA/IVS.

关 键 词：完全性大动脉转位 冠状动脉 变异 

分 类 号：R322.11[医药卫生—人体解剖和组织胚胎学]