| 杨向太,崔燕海,张群,谈文开,唐向周,王绍荣.复杂性先天性心脏病双向Glenn术后血管造影分析[J].中国医学影像技术,2010,26(6):1080~1083 |
| 复杂性先天性心脏病双向Glenn术后血管造影分析 |
| Angiography of the complex congenital heart disease after Bi-directional Glenn procedure |
| 投稿时间：2009-12-09 修订日期：2010-03-05 |
| DOI： |
| 中文关键词: 先天性心脏病 畸形 血管造影术 肺动脉 |
| 英文关键词:Congenital heart disease Abnormalities Angiography Pulmonary artery |
| 基金项目:广东省自然科学基金(06020823)。 |
|
| 摘要点击次数: 3040 |
| 全文下载次数: 1017 |
| 中文摘要: |
| 目的 采用血管造影评价复杂性先天性心脏病双向Glenn术后肺动脉发育及相关解剖学变化。 方法 回顾性分析32例复杂性先天性心脏病双向Glenn术后患者血管造影资料,且22例与术前造影资料比较,评价肺动脉发育、上腔静脉-肺动脉吻合口、主动脉侧支血管及并发症等情况。 结果 31例上腔静脉-肺动脉吻合口通畅,1例吻合口狭窄疑血栓形成。28例肺动脉发育良好且左、右肺动脉发育对称,3例单侧肺动脉狭窄,1例肺动脉发育差。1例出现肺动静脉瘘,1例存在胸腔积液。22例双向Glenn手术前后造影比较,左右肺动脉直径和McGoon率变化差异有统计学意义;36.36%(8/22)的主动脉侧支较术前增多。18.75%(6/32)病例术后存在腔静脉侧支血管。 结论 血管造影是评价复杂性先天性心脏病双向Glenn术后肺动脉发育及相关解剖学情况的有效手段。 |
| 英文摘要: |
| Objective To investigate the changes of the pulmonary artery and coherent anatomies after Bi-directional Glenn procedure with angiography. Methods Angiography data of 32 complex congenital heart disease patients underwent Bi-directional Glenn procedure were retrospectively analyzed. Changes of pre-surgery and post-surgery of 22 patients were compared, including pulmonary artery, cavopulmonary anastomotic stoma, main aorto-pulmonary collateral arteries (MAPCA) and complications. Results Of all 32 patients, 31 cavopulmonary anastomotic stomas were clear and smooth, 1 was stenosis with suspected thrombus; 28 pulmonary arteries were well-developed and bilateral symmetry, 3 were uni-lateral stenosis, 1 was poor-developed. Pulmonary arteriovenous fistula and pleural effusion was detected in 1 patient respectively. Changes of pulmonary artery size and McGoon rate were significant between pre-surgery and post-surgery: MAPCA increased post-surgery in 36.36% (8/22), while 18.75% (6/32) superior cavo-pulmonary collateral arteries occurred after Glenn procedure. Conclusion Angiography can accurately display the changes of the pulmonary artery and coherent anatomies after Bi-directional Glenn procedure. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
