心耳并列的超声心动图诊断价值  

Echocardiographie diagnosis of juxtaposition of atrial appendage

作　　者：郑春华 唐秀杰 王少波[2] 吴宝林[2] 陆萍 李洪银 吴清玉 

机构地区：[1]清华大学第一附属医院心脏中心,北京100016 [2]河北省邯郸市第一医院

出　　处：《中华超声影像学杂志》2009年第6期482-484,共3页Chinese Journal of Ultrasonography

摘　　要：目的探讨超声心动图诊断心耳并列的价值。方法分析9例心耳并列患儿二维超声心动图表现，并与心血管造影、手术结果对比分析，总结其诊断要点。结果9例心耳并列患儿中7例为心耳左侧并列，2例心耳右侧并列；均合并其他心脏复杂畸形，较为多见的是右室双出口、大动脉转位、单心室等。超声表现为于心底动脉短轴观直接观察到并列的心耳以及不正常横向的房间隔。超声诊断均与心血管造影、手术结果符合。结论超声心动图诊断心耳并列具有较高的准确性，在复杂性先心病的诊断中应提高对本病的认识。Objective To study the value of echocardiography for diagnosis of juxtaposition of atrial appendage（JAA） and to discuss its features. Methods Echocardiographic characteristics of JAA in nine cases were compared with results of cardiac catheterization and operation. The diagnostic features of echocardiography were summarized. Results Seven cases had juxtaposition of left atrial appendage and two had juxtaposition of right atrial appendage. The nine cases were all associated with severe congenital heart disease and the most frequent malformations observed with JAA were double outlet right ventricle, transposition of great artery, single ventricle and so on. Direct visualization of the JAA in the parasternal short-axis view at the base of the heart and visualization of an unusual transverse orientation of the atrial septum were the most features of JAA. Echocardiographic characteristics of JAA cases were correspondent to the results of cardiac catheterization and operation. Conclusions There is high accuracy by echoeardiography to diagnosis JAA. JAA should be alerted in severe congenital heart disease.

关 键 词：超声心动描记术 心耳并列 临床诊断 患者 

分 类 号：R686[医药卫生—骨科学]