Xie Mingxing, Lu Xiaofang, Wang Xinfang, Lu Qing, Yang Yali
Department of Diagnostic Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
J Huazhong Univ Sci Technolog Med Sci. 2004;24(2):192-5. doi: 10.1007/BF02885427.
To investigate the value of echocardiography in the diagnosis of total anomalous pulmonary venous connection (TAPVC), 16 patients in our hospital were diagnosed to have TAPVC by echocardiography from year 1994 to 2001. In 11 cases the results of echocardiography were compared to those of surgery. Each patient was examined by using a combination of precordial, suprasternal and subcostal windows to visualize all the pulmonary veins and their drainage sites, common pulmonary venous trunk, and other associated abnormalities. Of the 16 cases, the drainage sites were as follow: supracardiac in 10, via vertical vein in 9, directly to superior vena cava in 1; cardiac in 5, via coronary sinus in 2, directly to right atrium in 3. Diagnoses were correctly made in all the 11 cases as confirmed by surgery. Echocardiography can also assess pulmonary arterial pressure and detect other associated abnormalities. It is concluded that echocardiography is the preferred examination method in the diagnosis of TAPVC before surgery. With careful examination using multiple windows and sections, TAPVC can be accurately diagnosed by echocardiography.
为探讨超声心动图在完全性肺静脉异位连接（TAPVC）诊断中的价值，我院1994年至2001年经超声心动图诊断为TAPVC的患者共16例。其中11例患者的超声心动图结果与手术结果进行了对比。对每位患者均采用心前区、胸骨上窝和肋下多个切面联合扫查，以观察所有肺静脉及其引流部位、共同肺静脉干以及其他相关异常情况。16例患者中，肺静脉引流部位如下：心上型10例，经垂直静脉引流9例，直接汇入上腔静脉1例；心内型5例，经冠状静脉窦引流2例，直接汇入右心房3例。手术证实11例患者超声心动图诊断均正确。超声心动图还可评估肺动脉压力并发现其他相关异常情况。结论：超声心动图是TAPVC术前诊断的首选检查方法。通过多切面仔细检查，超声心动图能够准确诊断TAPVC。
