超声心动图诊断冠状动脉瘘的价值  

Echocardiography of Coronary Artery Fistula

作　　者：姥义[1] 桑玉顺[1] 施海建[1] 谈卫杰[1] 赵宝珍[2] 

机构地区：[1]解放军第101医院超声科,江苏省无锡市214044 [2]上海市长海医院超声科

出　　处：《中国超声医学杂志》2012年第1期82-83,共2页Chinese Journal of Ultrasound in Medicine

摘　　要：目的评价超声心动图在冠状动脉瘘诊断中的应用价值。方法回顾性分析18例经手术或介入治疗证实为冠状动脉瘘的超声心动图表现。结果 18例冠状动脉瘘中,右冠状动脉瘘15例,包括右冠状动脉右室瘘10例,右冠状动脉右房瘘2例,右冠状动脉肺动脉瘘2例,右冠状动脉左室瘘1例。左冠状动脉瘘3例,其中左冠状动脉肺动脉瘘1例,左冠状动脉右室瘘1例,左冠状动脉左室瘘1例。超声心动图均可清楚显示18例冠状动脉瘘的起源、走行和引流部位。结论超声心动图诊断冠状动脉瘘具有特异性,且简便、准确,可作为诊断冠状动脉瘘的首选影像学检查方法。Objective To evaluate the diagnostic value of echocardiography in coronary artery fistula（CAF）. Methods Ultrasonographic features of 18 CAFs confirmed with surgical operation and/or coronary artery angiography were analyzed retrospectively. Results Right CAFs were detected in fivteen patients：ten of them had drainges to the right ventricle,two to the main pulmonary artery, two to the right atrium,and the other to the left ventricle. CAFs ari- sing from the left coronary artery were noted in three patients drainaging to the main pulmonary artery, to the right ventricle and to the left ventricle respectively. Conclusions Echocardiography is a sensitive,accurate method for CAF and may be the first line imaging modality in the diagnosis of CAF.

关 键 词：超声心动图 冠状动脉瘘 诊断 

分 类 号：R540.45[医药卫生—心血管疾病]