主动脉弓离断的心血管造影影像分析  

Imaging Features of Angiocardiography in Interruption of Aortic Arch

作　　者：彭辽河[1] 魏崇健[2] 乔英[2] 闫小仿[2] 

机构地区：[1]湖北省肿瘤医院PET/CT中心,430079 [2]广州军区武汉总医院放射科,430070

出　　处：《临床放射学杂志》2011年第8期1188-1191,共4页Journal of Clinical Radiology

摘　　要：目的分析主动脉弓离断(interruption of aortic arch,IAA)患者的心血管造影影像,提高对本病的认识和诊断准确性。资料与方法 8例患者均经股动脉、股静脉穿刺插管,行右心室、左心室、降主动脉造影。其中3例经右颈总动脉穿刺插管行升主动脉造影;3例从右心室经室间隔缺损至升主动脉造影。结果 8例升主动脉与降主动脉之间均无血流连续。升主动脉细小7例,升主动脉扩张1例,降主动脉顶端与未闭的动脉导管连接7例,降主动脉与右锁骨下动脉连接1例。8例均合并心内畸形,其中室间隔缺损+动脉导管未闭并肺动脉高压5例,右室双出口+动脉导管未闭并肺动脉高压2例,法乐四联症1例。结论心血管造影是IAA确诊的重要方法,能够为IAA的早期有效诊断和外科手术适应证的选择提供重要的临床依据。Objective To analyze the imaging features of angiography in interruption of aortic arch（IAA）.Materials and Methods Eight patients underwent right and left ventricle angiography as well as descending aorta angiopraphy via the femoral artery and vein.The ascending aorta angiography was subsequently performed through the right carotid artery in 3 cases,and 3 patients performed ascending aorta angiography through the right ventricular septal defect.Results No blood flow was detected between the ascending and descending aorta in all cases.The angiography revealed aorta stenosis in 7 cases,aorta expansion in 1 case,the link between the tip of descending aorta and the patent ductus arteriosus in 7 cases,the link between descending aorta and subclavian artery in 1 case.All the 8 cases coexisted with inner-heart malformation,including ventricular septal defect in 5,patent ductus arteriosus and pulmonary arterial hypertension in 2,double outlet of right ventricle and patent ductus arteriosus and pulmonary arterial hypertension in 2,tetralogy of Fallot in 1 case.Conclusion The angiocardiography is an important method for early diagnosis and surgical therapy strategy.

关 键 词：主动脉弓离断 心血管造影 影像分析 

分 类 号：R816.2[医药卫生—放射医学]