冠状动脉瘘12例临床X线分析

• 作 者: 杨厚林 陈良生 林秋萍 王尔祯
• 机 构: 福建省立医院放射科!350001,福建省立医院放射科!350001,福建省立医院放射科!350001,福建省立医院放射科!350001
• 出 处: 福建医药杂志
• 发表日期: 1999年04期
• 关键词: 冠状动脉瘘 X线分析 冠状动脉造影 引流部位 左右冠状动脉 升主动脉 双期杂音 连续性杂音 解剖细节 前降支

目的分析冠状动脉瘘的临床Ｘ线表现及诊断手段的选择。方法１２例冠状动脉瘘行平片及升主动脉或／和选择性冠状动脉造影检查，着重对受累冠状动脉、引流部位进行分析。结果１２例中累及左右冠状动脉各７例，引流至右心肺动脉系统１１例，引流至左心室１例。结论升主动脉及冠状动脉造影是本病确诊最重要的手段，但分流量较小的病例需行选择性冠状动脉造影方能明确诊断。

Objective To analyze the clinical manifestations and diagnostic methods of coronary artery fistula. Methods Twelve cases of coronary fistula were treated with plain and ascending aorta or / and selective coronary angiography. The coronary artery and drainage site were analyzed emphatically. Results Of the 12 cases, 7 cases were involved in each of the left and right coronary arteries, 11 cases were drained to the right pulmonary artery and 1 case was drained to the left ventricle. Conclusions Ascending aorta and coronary angiography are the most important means to confirm the diagnosis of this disease. However, cases with smaller total volume of flow should be diagnosed by selective coronary angiography.