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[左冠状动脉起源于肺动脉干患者的心肌铊-201灌注闪烁显像(临床与解剖学对比)]

[Tl-201 perfusion scintigraphy of the myocardium in patients with anomalous origin of the left coronary artery from the pulmonary trunk (clinico-anatomical comparisons)].

作者信息

Malov G A, Oblovatskaia O G, Abdullaev F Z, Kuznetsova N N, Petrosian Iu S

出版信息

Kardiologiia. 1989 Dec;29(12):68-73.

PMID:2632929
Abstract

The clinical significance of 201Tl myocardial perfusion scintigraphy was studied in 7 patients with abnormal branch of the left coronary artery from the pulmonary trunk and in 1 patient with that of the anterior interventricular artery from the pulmonary trunk. Radiological criteria for the defect were established on the basis of comparative analysis of the data of myocardial scintigraphy with those of electrocardiographic, coronary angiography and anatomic examinations. It was shown that it was feasible to make a differential diagnosis between abnormal left coronary artery branch and dilated cardiomyopathy and that the technique was of value for comparative assessment of the efficacy of various types of surgical treatment for abnormal left coronary artery ramus from the pulmonary trunk.

摘要

对7例左冠状动脉异常分支起源于肺动脉干及1例前室间动脉起源于肺动脉干的患者进行了铊-201心肌灌注闪烁显像的临床意义研究。基于心肌闪烁显像数据与心电图、冠状动脉造影及解剖学检查数据的对比分析,确立了缺损的影像学标准。结果表明,鉴别诊断左冠状动脉异常分支与扩张型心肌病是可行的,且该技术对于比较评估肺动脉干起源的左冠状动脉分支异常的各种手术治疗效果具有价值。

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