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先天性心血管畸形的超声心动图与影像学检查——竞争还是互补?第一部分:非青紫型心血管畸形

Echocardiography and imaging investigation in congenital cardio-vascular anomalies - competition or complementarity? Part I: non-cyanogenic cardiovascular malformations.

作者信息

Manole Simona, Oprita Simona, Encica Svetlana, Cotul Mircea, Chira Manuel, Manole Viorel, Iacob Daniela, Dudea Sorin M

机构信息

Radiology Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

出版信息

Med Ultrason. 2012 Dec;14(4):331-40.

PMID:23243647
Abstract

Echocardiography is the first technique used for diagnosing cardiovascular malformations (CVM). The results are often completed with multi-detector computer tomography (MDCT) and/or magnetic resonance imaging (MRI) for confirming/ invalidating an abnormal pulmonary venous return in the case of atrial septal defect (ASD) or for the exact interpretation of cardiac function in pre/post-surgery cases with ASD, ventricular septal defect (VSD), and Fallot tetralogy. MDCT and MRI play an important role in the precise and complete diagnosis of Fallot tetralogy, in the anomalies of the right heart cavities and the arterial and venous pulmonary tree, the anomalies of the emergence and course of the coronary arteries, aortic coarctation and developmental anomalies of the aortic arch and supraaortic trunks. The complementarity of echocardiography with MDCT and MRI, in order to obtain details and to avoid invasive procedures and also the cooperation between the pediatrician, cardiologist, surgeon and radiologist, represent the key to the diagnosis and treatment of cardiovascular malformations, for the benefit of the patient.

摘要

超声心动图是用于诊断心血管畸形(CVM)的首要技术。对于房间隔缺损(ASD)病例,为确认/排除异常肺静脉回流,或对于ASD、室间隔缺损(VSD)及法洛四联症手术前后病例心脏功能的准确解读,其结果常通过多排计算机断层扫描(MDCT)和/或磁共振成像(MRI)来完善。MDCT和MRI在法洛四联症的精确完整诊断、右心腔及肺动静脉树异常、冠状动脉起始和走行异常、主动脉缩窄以及主动脉弓和主动脉弓上干发育异常方面发挥着重要作用。超声心动图与MDCT和MRI的互补性,以获取详细信息并避免侵入性操作,以及儿科医生、心脏病专家、外科医生和放射科医生之间的合作,是心血管畸形诊断和治疗的关键,以造福患者。

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Echocardiography and imaging investigation in congenital cardiovascular anomalies - competition or complementarity? Part II: cyanogenic cardiovascular malformations. Pictorial essay.先天性心血管畸形的超声心动图与影像学检查——竞争还是互补?第二部分:青紫型心血管畸形。图文综述。
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