Uçar Tayfun, Fitoz Suat, Tutar Ercan, Atalay Semra, Uysalel Adnan
Department of Pediatric Cardiology, Ankara University School of Medicine, Ankara, Turkey.
Int J Cardiovasc Imaging. 2008 Feb;24(2):229-35. doi: 10.1007/s10554-007-9246-4. Epub 2007 Jun 28.
Pulmonary venous abnormalities are generally diagnosed by echocardiography and often confirmed by cardiac catheterization. Although angiography has been the gold standard for evaluation it carries certain inherent risks, especially in small and sick infants. In this study we retrospectively assessed the utility of magnetic resonance angiography (MRA) and computed tomography angiography (CTA) in the evaluation of pulmonary venous abnormalities in pediatric patients. The results were compared with operative findings. We reviewed nine patients with total APVC and four with partial APVC. Twelve patients were infant (age range: 1 day to 8 months) and the other was 16 years old. MRA and/or CTA clearly visualized the anomalous drainage of pulmonary veins in all patients. Cardiac catheterization was performed five patients with one total anomalous pulmonary venous connection and four with partial anomalous pulmonary venous connection. Ten patients were operated on. Diagnoses of patients were confirmed by operative findings. In Conclusions, MR and CT angiography allow detailed and comprehensive evaluation of the APVC and are good diagnostic modalities for use in the preoperative assessment of the anomaly in pediatric patients.
肺静脉异常通常通过超声心动图诊断，常通过心导管检查得以证实。尽管血管造影一直是评估的金标准，但它存在一定的固有风险，尤其是在小婴儿和病情较重的婴儿中。在本研究中，我们回顾性评估了磁共振血管造影（MRA）和计算机断层血管造影（CTA）在评估儿科患者肺静脉异常中的效用。将结果与手术发现进行比较。我们回顾了9例完全性肺静脉异位连接（APVC）患者和4例部分性APVC患者。12例患者为婴儿（年龄范围：1天至8个月），另1例为16岁。MRA和/或CTA清晰显示了所有患者肺静脉的异常引流。5例完全性肺静脉异位连接患者和4例部分性肺静脉异位连接患者进行了心导管检查。10例患者接受了手术。手术结果证实了患者的诊断。总之，磁共振和CT血管造影能够对APVC进行详细而全面的评估，是用于儿科患者该异常术前评估的良好诊断方法。
