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多层螺旋计算机断层扫描评估川崎病患者的冠状动脉异常情况

Assessment of coronary artery abnormalities in a patient with Kawasaki disease by multislice computed tomography.

作者信息

Sato Yuichi, Matsumoto Naoya, Inoue Fumio, Imazeki Takako, Kusama Junji, Tamaki Tetsuo, Furuhashi Satoru, Takahashi Motoichiro, Kanamaru Hiroshi, Karasawa Kensuke, Ayusawa Mamoru, Harada Kensuke, Kanmatsuse Katsuo

机构信息

Second Department of Cardiology, Nihon University School of Medicine, Surugadai Hospital, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8309, Japan.

出版信息

Heart Vessels. 2004 Nov;19(6):297-9. doi: 10.1007/s00380-003-0758-0.

Abstract

The high spatial resolution of multislice computed tomography (MSCT) permits direct visualization of the coronary artery system. In this report, we describe coronary artery abnormalities in a young adult with Kawasaki disease. MSCT detected a giant coronary artery aneurysm, coronary artery stenosis in the first diagonal artery, and a multi-layered structure in the right coronary artery and the left circumflex artery. These findings corresponded well to those obtained by coronary angiography. MSCT has the potential to be the standard diagnostic tool for the follow-up evaluation of coronary artery disease in adolescents and young adults with Kawasaki disease.

摘要

多层螺旋计算机断层扫描(MSCT)的高空间分辨率能够直接显示冠状动脉系统。在本报告中,我们描述了一名患有川崎病的年轻成年人的冠状动脉异常情况。MSCT检测到一个巨大冠状动脉瘤、第一对角支动脉的冠状动脉狭窄,以及右冠状动脉和左旋支动脉的多层结构。这些发现与冠状动脉造影的结果非常吻合。MSCT有潜力成为对患有川崎病的青少年和年轻成年人进行冠状动脉疾病随访评估的标准诊断工具。

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