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二维超声心动图和彩色多普勒血流图诊断永存动脉干(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第6期
页码:
427-429
栏目:
论著
出版日期:
2001-11-01

文章信息/Info

Title:
Diagnosis of persistent truncus arteriosus by two-dimensional echocardiography and color Doppler flow imaging
作者:
李　军;  张　军;  钱蕴秋;  周晓东;  王晓敏;  张　俊;  朱　霆
第四军医大学西京医院超声诊断科, 陕西西安710032
Author(s):
LI Jun;  ZHANG Jun;  QIAN Yun-qiu;  ZHOU Xiao-dong ; WANG Xiao-min;  ZHANG Jun; ZHU Ting
Division of Ultrasound, Xijing Hospital, Fourth Military Medical University, Xi’an Shaanxi 710032, China
关键词:
超声心动描记术;  超声心动描记术;  多普勒;  永存动脉干
Keywords:
echocardiography;  echocardiography;  Doppler;  persistent truncus arteriosus
分类号:
R540. 45　
DOI:
-
文献标识码:
A
摘要:
目的 分析永存动脉干(PTA) 结构、血流动力学特征, 并探讨切面的选择。方法 应用彩色多普勒超声仪检测11 例疑诊为PTA 患者的二维超声心动图(2DE) 和彩色多普勒血流图(CDFI)。所有患者均使用剑突下、胸骨旁和胸骨上窝多部位和多切面检查心内结构。结果 10 例确诊为PTA , 1 例诊断为肺动脉闭锁, 心血管造影证实11 例均为PTA。PTA I型2 例, II 型1 例, III 型4 例, IV 型4 例。PTA 起源左右心室之间5 例; 主要起源于右心室6 例, 骑跨率≥60%。PTA 双叶和四叶各1 例, 三叶9 例。结论 2DE 和CDFI 可用于识别PTA 病理解剖结构, 血流动力学特征, 且诊断符合率高(91% )。
Abstract:
AIM To analyze structure of persistent truncus arteriosus (PTA) , hemodynamics,and explore selection of view. MOTHODS Color Doppler ultrasound system were used to detect two-dimensional echocardiography (2DE) and color Doppler flow imaging (CDFI) of 11 patients suspected with PTA. All cases underwent assessment of the intracardic structures by subcastal,parasternal and suprasternal views. RESULTS Among the 11 cases of PTA , 1 case of pulmonary artersia was diagnosed by 2DE and CDFI. 11 case of PTA was performed with angiocardiography. 10 cases were classified by 2DE and CDFI, which were 2 cases of type 1, 1 type II, 4 type III, and 3 type IV. 2DE and CDFI showed the truncus arteriosus originated from both ventricles equally in 5 cases and predominanly from the right ventricle in 6 cases with overriding rate≥60%. The number of the truncal cusps included 1 case of bicuspid, 1 case of quadricuspid and 9 cases of tricuspid. CONCLUSION 2DE and CDFI should be used to identify pathologic anatomy of abnormal structure of PTA and hemodynamics features. The diagnosis rate is high (91% ).

参考文献/References

[1] 常泰吉, 朱鸿良, 薛慈, 等. 小儿先天性心脏病[M]. 合肥: 安徽科学技术出版社, 1982. 158- 162.

[2] Drose JA. Fetal Echocardiography [M] Philadelplia: W. B.Sauaders company, 1998. 196- 202.

[3] Rao SP, Levy JM , Nikicica E, et al. Tricuspid artesria: Association with persistent truncus arteriosus [J]. Am Heart J ,1991, 122 (3 pt1) : 829.

[4] Butto F, Lucas RV , Edwards JE. Persistent truncus arteriousus: pathologic anatomy in 54 cases [J]. Pediatr Cardiol,1986, 7(2) : 95.

[5] Albuliras ET, Lombardo S, Antillon J. Truncus arteriosus with double aortic arch: Two-dimensional and color flow Doppler e-chocardiographic diagnosis [J]. Am Heart J , 1995, 129 (2) :415.

[6] Riggs TW , Paul MH. Two - dimensional echocardiographic prospective diagnosis of common truncus arteriosus in infants[J]. Am J Cardiol, 1982, 50 (6) : 1380.

[7] Cabrera A , Izquierdo MA , Alcibar J , et al. Perisistent truncus arteriosus echocardiographic study of 8 cases[J] . Rev Esp Cardiol, 1990, 43(7) : 492.

备注/Memo

备注/Memo:
收稿日期：2000-08-02.
更新日期/Last Update: 2001-11-01