先天性主动脉弓畸形(3)概要课件

先天性主动脉弓畸形(3)概要课件

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页数:67页

时间:2018-10-05

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1、CongenitalAorticArchAnomaliesinBroadDefinitionObstructivecongenitalaorticarchabnormalities,COA,IAANon-obstructivecongenitalaorticarchabnormalitiessuchasdoubleaorticarchandrightaorticarchwithaberrantleftsubclavianarteryandsoonCongenitalaorticarchshuntabnormal

2、ities,PDA343casesCongenitalAorticArchAnomaliesMRAdiagnosisAllexaminationswereperformedbetweenApril1999andDecember2003.216maleand127female,withanagerangeof5daysto11years(mean2.4years)AllexaminationswereperformedwithGESigna1.5TMRunitMRExaminationTechniqueECGga

3、tedT1-weightedspin-echosequencewasperformedineverycaseGradient-echocinesequencewasperformedineverycasePhase-contrastcinesequencewasperformedinsomecasesCE-MRAwasperformedineverycase.CE-MRAisthemosthelpfulsequence343casesCongenitalAorticArchAnomaliesMRAdiagnos

4、isPDA(patentductusarteriosus)139COA(coarctation)135,IAA(interruptionofaorticarch)27Non-obstructivecongenitalaorticarchabnormalities42Diagnosticaccuracy:CE-MRA96.8%echocardiography87.2%ObstructiveCongenitalAorticArchAbnormalities135COA,83werewithoutPDAand52we

5、rewithPDA27IAA,18weretypeAIAAand9weretypeBIAA.ObstructiveCongenitalAorticArchAbnormalitiesInsomeverysevereCOAandIAA,CE-MRAevencangivemoreinformationthanX-rayangiocardiography.CE-MRAdidnotmakeaccuratediagnosesfor2COA,1IAANon-obstructivecongenitalaorticarchabn

6、ormalitiesdoubleaorticarch2,rightaorticarchwithaberrantleftsubclavianartery12,rightaorticarchwithisolatedleftsubclavianartery2,leftaorticarchwithaberrantrightsubclavianartery13,fifthaorticarch3,cervicalaorticarch2,rightaorticarchwithleftdescendingaorta4,left

7、aorticarchwithrightdescendingaorta1,rightaorticarchwithaberrantleftinnominateartery1,leftaorticarchwithisolatedrightsubclavianartery1,rightaorticarchwithisolatedleftinnominateartery1.Non-obstructivecongenitalaorticarchabnormalitiesEdwardsschemeisveryhelpfulf

8、orunderstandinganddiagnosesofnon-obstructivecongenitalaorticarchanomalies.FifthaorticarchCervicalaorticarchPulmonaryarteryslingCongenitalaorticarchshuntabnormalities139PDAcases,3werewindowtypePD

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