双源CT 对冠状动脉瘘手术前后的临床评估价值

双源CT 对冠状动脉瘘手术前后的临床评估价值
孙桂芳;刘斌;胡健;刘波;张新堂;万文
【期刊名称】《昆明医科大学学报》
【年(卷),期】2016(037)005
【摘要】目的：探讨双源CT 在冠状动脉瘘手术前后诊断中的应用价值．方法回顾性分析15例CA F 患者CT 影像，其中11例行体外循环下的外科缝闭术．结果15例中瘘支冠状动脉起源于右冠状动脉8例；左冠状动脉7例，其中3例窦房结支，2例前降支，2例回旋支；瘘口位于右房6例、右室5例、左室4例、左房1例；冠状动脉全程扩张8例、局限性动脉瘤形成4例、不扩张3例；单一瘘口11例、多发瘘口4例．11例均在体外循环下手术．10例术后影像显示瘘口已缝补，未见残余瘘口；3例显示瘘支血管近段结扎，1例右冠状动脉成形术仅见右冠近端显影，远端闭塞；2例假性憩室形成．结论 D SC T 检查对冠状动脉瘘手术前后均有有重要的评估价值．%Objective The aim of this study was to explore the clinical value of dual-source CT(DSCT)in the diagnosis of coronary artery fistula(CAF)before and after surgery. Methods A retrospective analysis was performed in 15 cases of patients with CAF,11 cases of which was treated by surgery during extracorporeal circulation. Results CAF arose from right coronary artery in 8 cases and left coronary artery in 7 cases,with the latter including 3 cases of ramus nodi sinuatrialis fistula,2 cases of anterior descending branch fistula,and 2 cases of left circumflex fistula. CAF entered into right atrium(6 cases),right ventricle(5 cases),left ventricle(4 cases)and left atrium(1 case). There were dilatation of coronary artery in 8
cases,localized aneurysm in 4 cases,normal coronary artery in 3
cases,single fistula orifice in 11 cases,and multiple fistula orifice in 4 cases.
11 patients underwent surgery under cardiopulmonary bypass(CPB).The postoperative imaging revealed fistula has been sutured in 10 patients with no residual fistula,including fistula vascular ligation in 3 cases,the proximal imaging and distal occlusion in right coronary artery angioplasty in 1 case,and pseudo diverticulum in 2 cases. Conclusion DSCT examination has significant value in preoperative diagnosis and postoperative follow-up for CAF.
【总页数】4页(P97-100)
【作者】孙桂芳;刘斌;胡健;刘波;张新堂;万文
【作者单位】昆明医科大学附属延安医院放射科，云南昆明 650051;昆明医科大学附属延安医院放射科，云南昆明 650051;昆明医科大学附属延安医院放射科，云南昆明 650051;昆明医科大学附属延安医院放射科，云南昆明 650051;昆明医科大学附属延安医院放射科，云南昆明 650051;昆明医科大学附属延安医院放射科，云南昆明 650051
【正文语种】中文
【中图分类】R814.42
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