资源描述:
《先天性主动脉弓畸形(3)概要课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
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