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使用64排冠状动脉CT血管造影术对2697例连续患者进行先天性冠状动脉异常和变异的患病率研究。

Prevalence of Congenital Coronary Artery Anomalies and Variants in 2697 Consecutive Patients Using 64-Detector Row Coronary CTAngiography.

作者信息

Shabestari Abbas Arjmand, Akhlaghpoor Shahram, Tayebivaljozi Reza, Fattahi Masrour Farzaneh

机构信息

Cardiac CT Department, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran ; CT Department, Noor Medical Imaging Center, Tehran, Iran ; Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Radiol. 2012 Sep;9(3):111-21. doi: 10.5812/iranjradiol.8070. Epub 2012 Sep 17.

DOI:10.5812/iranjradiol.8070
PMID:23329976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3522371/
Abstract

BACKGROUND

Coronary artery anomalies are not common, but could be very serious.

OBJECTIVES

This study determines the frequency of coronary anomalies and normal variants by multi-detector-row computed tomography (MDCT).

PATIENTS AND METHODS

The results of cardiac MDCT study in 2697 consecutive patients were analyzed retrospectively. Acquisition was performed by a 64-detector row CT machine. Imaging results were assessed by experienced radiologists.

RESULTS

Myocardial bridging was by far the most frequent coronary variant (n = 576, 21.3%). Eighty-three subjects (3.1%) showed other coronary anomalies and variants. Anomalies of origination and course of the left main coronary artery (LMCA) were detected in 1.09% of the subjects. The frequency of these anomalies in the right coronary artery (RCA), left circumflex artery (LCx), left anterior descending artery (LAD), posterior descending artery (PDA) and obtuse marginal (OM) artery were 1.24%, 0.33%, 0.1%, 0.07% and 0.03%, respectively. The single coronary pattern was seen in 0.18% and coronary fistulas in 0.07%.

CONCLUSION

Based on the fact that coronary CT-angiography using MDCT can display different coronary anomalies, this study shows similar results to other reports on the subject. Future advances in the performance of CT machines will further improve the quality of CT-based cardiac imaging.

摘要

背景

冠状动脉异常并不常见，但可能非常严重。

目的

本研究通过多排探测器计算机断层扫描（MDCT）确定冠状动脉异常和正常变异的频率。

患者与方法

回顾性分析2697例连续患者的心脏MDCT研究结果。采用64排探测器CT机进行扫描。影像结果由经验丰富的放射科医生评估。

结果

心肌桥是迄今为止最常见的冠状动脉变异（n = 576，21.3%）。83例患者（3.1%）表现出其他冠状动脉异常和变异。左主干冠状动脉（LMCA）起源和走行异常在1.09%的患者中被检测到。这些异常在右冠状动脉（RCA）、左旋支动脉（LCx）、左前降支动脉（LAD）、后降支动脉（PDA）和钝缘支动脉（OM）中的发生率分别为1.24%、0.33%、0.1%、0.07%和0.03%。单冠状动脉模式见于0.18%的患者，冠状动脉瘘见于0.07%的患者。

结论

基于MDCT冠状动脉CT血管造影能够显示不同冠状动脉异常这一事实，本研究结果与关于该主题的其他报告相似。CT设备性能的未来进步将进一步提高基于CT的心脏成像质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/4d89ebac4cce/iranjradiol-09-111-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/fa1ca79aab9f/iranjradiol-09-111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/6c78bba2e6b0/iranjradiol-09-111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/96a21124f7f0/iranjradiol-09-111-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/14bc7dec3ccc/iranjradiol-09-111-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/d2162f1d586f/iranjradiol-09-111-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/79c5e23090e3/iranjradiol-09-111-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/05baef0bd556/iranjradiol-09-111-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/da25426ddaa7/iranjradiol-09-111-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/4d89ebac4cce/iranjradiol-09-111-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/fa1ca79aab9f/iranjradiol-09-111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/6c78bba2e6b0/iranjradiol-09-111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/96a21124f7f0/iranjradiol-09-111-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/14bc7dec3ccc/iranjradiol-09-111-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/d2162f1d586f/iranjradiol-09-111-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/79c5e23090e3/iranjradiol-09-111-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/05baef0bd556/iranjradiol-09-111-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/da25426ddaa7/iranjradiol-09-111-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d6/3522371/4d89ebac4cce/iranjradiol-09-111-g009.jpg

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2
Anomalous origin of posterior descending artery from left anterior descending in the presence of a diminutive right coronary artery: diagnosed by ECG gated multi-detector CT.左前降支发出的后降支动脉起源异常合并右冠状动脉细小：心电图门控多排 CT 诊断。
Heart Lung Circ. 2011 Nov;20(11):734-5. doi: 10.1016/j.hlc.2011.03.007. Epub 2011 Apr 3.
3
[国立心血管研究所（INCOR）通过计算机断层扫描检测到的冠状动脉异常的患病率]
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4
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