Jemmali Monia, Marini Davide, Calcagni Giulio, Brunelle Francis, Sidi Daniel, Bonnet Damien, Ou Phalla
University Rene Descarte-Paris 5, Hôpital Necker-Enfants Malades, Department of Pediatric Cardiology, Paris, France.
Ann Thorac Surg. 2007 Oct;84(4):1398-9. doi: 10.1016/j.athoracsur.2007.05.072.
Coronary artery bypass is increasingly used as a revascularization procedure to treat pediatric coronary artery problems. We report here the clinical usefulness of high resolution computed tomographic scan in the evaluation of the internal mammary artery bypass graft in a 12-year-old child who had undergone arterial switch operation for transposition of the great arteries. Our case suggests the following practice already applied in our institution: 64-slice computed tomography can be used as a valuable noninvasive diagnostic and screening tool for detecting coronary and artery bypass graft complications in the follow-up of the arterial switch operation before having recourse to conventional angiography.
冠状动脉搭桥术越来越多地被用作一种血管重建手术来治疗小儿冠状动脉问题。我们在此报告高分辨率计算机断层扫描在评估一名12岁接受大动脉转位动脉调转手术患儿的乳内动脉搭桥移植物中的临床应用价值。我们的病例提示了我们机构已经采用的以下做法：在求助于传统血管造影之前，64层计算机断层扫描可作为一种有价值的非侵入性诊断和筛查工具，用于检测动脉调转手术后随访中的冠状动脉和动脉搭桥移植物并发症。
