Department of Radiology, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey.
Diagn Interv Radiol. 2009 Dec;15(4):269-74. doi: 10.4261/1305-3825.DIR.2434-08.1. Epub 2009 Oct 21.
To evaluate the reliability of 16-slice multidetector computed tomographic (MDCT) angiography for the preoperative morphologic assessment of coarctation of the aorta in adults.
Twenty-four adult patients with clinical suspicion of coarctation of the aorta who underwent both Doppler echocardiography and MDCT angiography were included in this study. The sensitivities of diagnosis were assessed comparing MDCT and Doppler echocardiography with surgical results.
The overall sensitivity of three-dimensional MDCT for diagnosis of the coarctation of the aorta was 100%, which was higher than that of Doppler echocardiography (91%). The overall sensitivity of MDCT for the assessment of cardiac defects was 82%, which was lower than that of Doppler echocardiography (100%).
MDCT angiography with multiplanar and three-dimensional techniques should be the method of choice for preoperative morphologic assessment of coarctation of the aorta in adult patients.
评估 16 层多层螺旋 CT 血管造影（MDCT）在成人主动脉缩窄术前形态评估中的可靠性。
本研究纳入了 24 例临床怀疑主动脉缩窄的成年患者，这些患者均接受了多普勒超声心动图和 MDCT 血管造影检查。通过与手术结果比较，评估 MDCT 和多普勒超声心动图的诊断灵敏度。
三维 MDCT 对主动脉缩窄的总体诊断灵敏度为 100%，高于多普勒超声心动图（91%）。MDCT 对心脏缺陷评估的总体灵敏度为 82%，低于多普勒超声心动图（100%）。
对于成年患者的主动脉缩窄术前形态评估，MDCT 血管造影术结合多平面和三维技术应是首选方法。
