Department of Cardiology, Surrey and Sussex National Health Service Trust, Redhill, Surrey, United Kingdom.
JACC Cardiovasc Imaging. 2013 May;6(5):624-30. doi: 10.1016/j.jcmg.2012.10.027.
In patients with transposition of the great arteries, the identification of coronary anatomy is fundamental to optimal surgical outcome. A number of classifications describing the coronary vessels' origin and course in transposition of the great arteries have been published. However, all are limited to operative or pathological case series. They are often alphanumeric classifications that do not lend themselves to clinical practice; they do not consider certain important anatomical variations that may increase surgical morbidity and mortality, nor do they fully delineate coronary anatomy or define the relationship to adjacent structures seen with cardiovascular computed tomography. Using cardiovascular computed tomography for illustrative purposes, we propose and validate a universal sequential descriptive classification and an associated alphanumeric classification that may be used for all coronary anomalies with or without associated congenital heart disease.
在大动脉转位患者中，冠状动脉解剖结构的确定对获得最佳手术效果至关重要。已经发表了许多描述大动脉转位中心冠状动脉起源和走行的分类方法。然而，所有这些方法都仅限于手术或病理学病例系列。它们通常是不适合临床实践的字母数字分类法；它们没有考虑到某些可能增加手术发病率和死亡率的重要解剖变异，也没有充分描述冠状动脉解剖结构或定义与心血管计算机断层扫描所见相邻结构的关系。为了说明问题，我们使用心血管计算机断层扫描提出并验证了一种通用的顺序描述分类法和一种相关的字母数字分类法，该分类法可用于所有伴或不伴先天性心脏病的冠状动脉异常。
