摘要
本文分析56例经手术和或尸检证实的完全性肺静脉畸形连接(TAPVC)的造影所见及亚型变异,并对该畸形造影方法的选择进行了探讨。文内还结合造影征象评估了各型TAPVC的平片诊断价值及限度。
The angiocardiographic findings of 56 cases with total anomalous pulmonary venous connections (TAPVC), proved by surgery and/or autopsy, were nalysed. There were 39, 13 and 4 cases of supracardiac, cardiac and mixed type respectively, and no infracardiae type in this series. The supracardiac type contained two subgroups-connecting with either the left innominate vein or the right superior vena cava(RSVC) with the former predominant which had a variety of PV connections. The cases with more than one branch drainage of left PV or its connective level near the left innominate vein accounted for about 25% of this subgroup. Rarely the vertical vein (i. e. LSVC) ran posteriorly or was aneurysmally dilated. The other subtype might be similar to the former except a short vertical vein draining into the RSVC directly; or presented as mirror image of the former. In the cardiac TAPVC, PV converged in a common PV trunk (CPV) or drained into either the coronary sinus (CS) or right atrium in 2～4 branches. The mixed type had characteristics of both the supracardiac and cardiac types, usually one of which was predominant, while the other one was neglected. It is important to be familiar with all of the patterns and variations for the diagnosis and surgical management of TAPVC. We suggest that the first choice of angiocardiographic approach is the main pulmonary arteriography. Sometimes other methods, such as left atriography (or ventriculography) might be performed if necessary. Comparing with angio-cardiographic findings the limitations of diagnosis by plain film for each type of TAPVC were also discussed. In the supra-cardiac TAPVC, plain film is superior to UCG.
出处
《中国循环杂志》
CSCD
1992年第5期431-434,T019,共5页
Chinese Circulation Journal
关键词
心血管造影
先天性心脏病
X线摄影
Total anomalous pulmonary venous connection (TAPVC)
Angiocardiography
Radiological diagnosis
