超声心动图诊断单纯右肺动脉异常起源于升主动脉  

Diagnosis of isolated anomalous origin of right pulmonary artery from ascending aorta by echocardiography

作　　者：康彧[1] 唐红[1] 安琪[2] 

机构地区：[1]四川大学华西医院心内科,成都610041 [2]四川大学华西医院胸外科,成都610041

出　　处：《中华超声影像学杂志》2009年第6期476-478,共3页Chinese Journal of Ultrasonography

基　　金：国家科技支撑计划课题（2006BAI01A08）

摘　　要：目的探讨单纯右肺动脉异常起源于升主动脉的超声心动图诊断价值。方法回顾性分析5例单纯右肺动脉异常起源于升主动脉患者的超声心动图特征。结果5例右肺动脉均起源于升主动脉近端左后壁，除合并动脉导管未闭外，无其他心内畸形；均存在重度肺动脉高压。3例手术，1例术前漏诊动脉导管未闭，1例院外多次彩色超声漏诊右肺动脉异常起源或误诊为大动脉转位。结论单纯右肺动脉异常起源于升主动脉在解剖、血流动力学上有许多相似之处，把握共性并多部位、多切面探测有助于超声心动图作出准确诊断并减少漏、误诊。Objective To evaluate the value of echocardiography in patients with isolated anomalous origin of right pulmonary artery from ascending aorta. Methods The echocardiographic results of five patients with isolated anomalous origin of right pulmonary artery from ascending aorta were reviewed retrospectively. Results Severe pulmonary hypertension occurred in all the patients, besides accompanied with patent ductus arterious, no other congenital malformations combined. Three patients underwent operation. Patent ductus arterious was missed in one patient＇s diagnosis. Another patient was missed isolated anomalous origin of right pulmonary artery from ascending aorta in several echocardiographic examinations, once misdiagnosed as complete transposition of the great arteries. Conclusions There are many anatomic and hemodynamic similarities in patients with isolated anomalous origin of right pulmonary artery from ascending aorta. Grasping their common characters and exploring multi-position and multi section are helpful to make correct diagnosis.

关 键 词：超声心动描记术 右肺动脉异常起源 临床诊断 患者 

分 类 号：R686[医药卫生—骨科学]