全心冠状动脉磁共振血管造影术用于检测不稳定型心绞痛患者的冠状动脉狭窄和动脉粥样硬化性冠状动脉斑块。

Whole heart coronary magnetic resonance angiography for the detection of coronary artery stenosis and atherosclerotic coronary artery plaque in a patient with unstable angina.

作者信息

Sato Yuichi, Komatsu Sei, Matsumoto Naoya, Tani Shigemasa, Kunimasa Taeko, Masubuchi Mitsuyo, Kunimoto Satoshi, Kasamaki Yuji, Takahashi Motoichiro, Uchiyama Takahisa, Saito Satoshi

出版信息

Int J Cardiol. 2007 Feb 7;115(2):262-4. doi: 10.1016/j.ijcard.2006.01.044. Epub 2006 Jun 8.

DOI:10.1016/j.ijcard.2006.01.044

PMID:16759719

Abstract

Whole heart coronary magnetic resonance angiography (MRA) has been established as a totally noninvasive diagnostic modality for the assessment of coronary artery disease. We report a case with unstable angina, in whom coronary artery stenosis with an atherosclerotic plaque was detected by whole heart coronary MRA. Intravascular ultrasound in the stenotic lesion revealed a soft plaque containing focal calcification, corresponding to a low-signal mass containing a no-signal mass on MRA. Whole heart coronary MRA can become a useful diagnostic tool for the diagnosis of acute coronary syndrome.

摘要

全心冠状动脉磁共振血管造影（MRA）已成为一种完全无创的诊断方法，用于评估冠状动脉疾病。我们报告一例不稳定型心绞痛患者，通过全心冠状动脉MRA检测到冠状动脉狭窄并伴有动脉粥样硬化斑块。狭窄病变处的血管内超声显示一个含有局灶性钙化的软斑块，这与MRA上一个包含无信号区域的低信号团块相对应。全心冠状动脉MRA可成为诊断急性冠状动脉综合征的有用诊断工具。