Bajwa N, Bianco J A, Stone C K
Department of Medicine, University of Wisconsin-Madison 53792.
J Nucl Med. 1991 Aug;32(8):1611-3.
A case of congenitally-corrected transposition of the great arteries is presented with the correlation of thallium scintigraphic results with catheterization data. The essential features of the thallium scintigrams were marked counterclockwise rotation of the heart with perfusion abnormalities of the inferior wall and apex. Since patients with congenitally-corrected transposition of the great arteries may present with the symptom of chest pain, the diagnosis of transposition of the great arteries should be considered in patients with marked counterclockwise rotation of the heart and segmental perfusion abnormalities on thallium scintigraphy.
本文报告一例先天性矫正型大动脉转位病例，并将铊闪烁扫描结果与心导管检查数据进行了对比。铊闪烁扫描图的基本特征是心脏明显逆时针旋转，下壁和心尖灌注异常。由于先天性矫正型大动脉转位患者可能出现胸痛症状，对于心脏明显逆时针旋转且铊闪烁扫描显示节段性灌注异常的患者，应考虑大动脉转位的诊断。
