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[一例成人左冠状动脉异常起源于肺动脉(布-加-魏综合征)病例,术后铊-201心肌显像显示显著改善]

[An adult case of the left coronary artery anomalously originating from the pulmonary artery (BWG syndrome), demonstrating remarkable improvement in postoperative thallium-201 myocardial imaging].

作者信息

Matsumoto H, Sawada Y, Ichii Y, Kin Y, Koyama T, Chiba H, Ono J, Mizuno T, Kin K, Shinohara S

机构信息

Division of Internal Medicine, Nishiyodo Hospital, Osaka.

出版信息

Kaku Igaku. 1991 Apr;28(4):419-23.

PMID:1880976
Abstract

Stress thallium-201 myocardial scintigraphy were performed in a 44-year-old female with BWG syndrome before and after aorto-coronary bypass surgery. Preoperative stress thallium-201 studies demonstrated anterior reversible perfusion defect and posterior persistent defect. But postoperative studies demonstrated no defects in both areas. These data suggest that preoperative anterior defect was due to transient myocardial ischemia, but the finding of posterior persistent defect wasn't due to infarction or scarring. Thus, stress thallium-201 myocardial imaging provided useful informations to clarify the myocardial perfusion patterns pre- and postoperatively.

摘要

对一名患有布-加综合征(BWG综合征)的44岁女性在主动脉冠状动脉搭桥手术前后进行了负荷铊-201心肌闪烁扫描。术前负荷铊-201研究显示前壁可逆性灌注缺损和后壁持续性缺损。但术后研究显示这两个区域均无缺损。这些数据表明,术前前壁缺损是由于短暂性心肌缺血所致,但后壁持续性缺损并非由梗死或瘢痕形成引起。因此,负荷铊-201心肌显像为明确术前和术后的心肌灌注模式提供了有用信息。

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