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肺动脉异常起源于升主动脉的影像学诊断
引用本文:钟玉敏,朱铭,孙爱敏,李玉华,唐旭峰.肺动脉异常起源于升主动脉的影像学诊断[J].临床放射学杂志,2003,22(12):1011-1013.
作者姓名:钟玉敏  朱铭  孙爱敏  李玉华  唐旭峰
作者单位:200127,上海第二医科大学附属新华医院上海儿童医学中心放射科
摘    要:目的 探讨肺动脉异常起源于升主动脉的影像学诊断价值。资料与方法 6例肺动脉异常起源于升主动脉,作心血管造影(ACG)及MRI检查。结果 6例中3例为右肺动脉异常起源于升主动脉,均为近端型;3例为左肺动脉异常起源于升主动脉,1例属近端型,2例远端型。结论 肺动脉异常起源于升主动脉为少见的先天性心脏病,心血管造影仍是诊断的主要手段,MRI是非创伤性检查中较为可靠、有潜力的诊断方法。

关 键 词:肺动脉异常  升主动脉  影像学诊断  MRI检查  心血管造影
修稿时间:2003年4月21日

Imaging Diagnosis of Anomalous Origin of One Pulmonary Artery from Ascending Aorta
ZHONG Yumin,ZHU Min,SUN Aimin,et al..Imaging Diagnosis of Anomalous Origin of One Pulmonary Artery from Ascending Aorta[J].Journal of Clinical Radiology,2003,22(12):1011-1013.
Authors:ZHONG Yumin  ZHU Min  SUN Aimin  
Affiliation:ZHONG Yumin,ZHU Min,SUN Aimin,et al.Department of Radiology,The Affiliated Xinhua Hospital,Shanghai Children's Medical Center,Shanghai No.2 Medical University,Shanghai 200127,P. R. China
Abstract:Objective To discuss the imaging study in the diagnosis of anomalous origin of a pulmonary artery from ascending aorta.Materials and Methods Angiocardiography and MRI were performed in 6 cases with one pulmonary artery abnormally originated from ascending aorta. The imaging findings were analyzed.Results Of 6 cases, the right pulmonary artery was abnormally originated from ascending aorta in 3, all of which were proximal type. In the remaining 3 cases, the left pulmonary artery was abnormally originated from ascending aorta, of which one was proximal type and 2 were distal type.Conclusion Anomalous origin of a pulmonary artery from ascending aorta is a rare congenital heart disease. Angiocardiography is still a gold standard to diagnose this disorder, while MRI is a trustworthy and potential exam among noninvasive studies.
Keywords:Anomalous origin of pulmonary artery  Cardiac defect  congenital  MRI  Angiocardiography  Pathology
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