双源CT冠状动脉血管成像对先天性冠状动脉-肺动脉瘘的诊断价值  

The Diagnositic Value of Dual-source Coronary CTA in Congenital Coronary Artery-pulmonary Fistula(CCPF)

作　　者：吴瑶[1] 宋云龙[1] 李相生[1] 潘志斌[1] 李继元[1] WU Yao;SONG Yun-Long;LI Xiang-sheng(Department of MRI,Air Force General Hospital,PLA,Beijing 100142,China)

机构地区：[1]中国人民解放军空军总医院磁共振科,北京100142

出　　处：《中国CT和MRI杂志》2018年第5期60-62,153,共4页Chinese Journal of CT and MRI

摘　　要：目的评价双源冠状动脉CTA对先天性冠状动脉-肺动脉瘘(congenital coronary artery-pulmonary fistula,CCPF)的诊断价值,从而提高CPF的检出率。方法回顾性分析我院自2014年8月至2016年7月行双源CT冠脉成像的受检者共3500例,全部病例均行多平面重建(multi-planar reconstrcution,MPR)、容积再现(volume rendering,VR)、最大密度投影(maximal intensity projection,MIP)及冠脉管腔评估等后处理。结果收集的3500例受检者中共发现CPF9例,其中包括4例左、右冠状动脉-肺动脉瘘,2例右冠状动脉-肺动脉瘘,2例左前降支-肺动脉瘘,1例右冠状动脉圆锥支-肺动脉瘘。结论双源冠脉CTA能够准确诊断CPF,可作为CPF诊断的首选方法。Objective To evaluate the diagnositic value of dual-source coronary CTA in congenital coronary artery-pulmonary fistula（CCPF）. Methods The imaging meterials of 3500 patients from August 2014 to July 2016 who undertaken dual-source coronary CTA examination were analyzed retrospectively. The dual-source coronary CTA imaging data were post-processing reconstructed by multi-planar reconstrcution（MPR）, maximal intensity projection（MIP）, volume rendering（VR） and vascular evaluation. Results 9 congenital coronary artery-pulmonary fistula（CCPF） patients were found in 3500 patients, including 4 patients with left/right coronary artery-pulmonary fistula, 2 patients with right coronary artery-pulmonary fistula, 2 patients with left anterior descending artery--pulmonary fistula and 1 patient with right conus branch artery--pulmonary fistula. Conclusion Dual-source coronary CTA accurately diagnose the congenital coronary artery-pulmonary fistula and should be taken as a first method to exam congenital coronary artery-pulmonary fistula.

关 键 词：先天发育异常 冠状动脉-肺动脉瘘 双源CT 

分 类 号：R542.54[医药卫生—心血管疾病]