Ogata H, Nakata T, Endoh A, Tsuchihashi K, Yonekura S, Tanaka S, Tsuda T, Kubota M, Iimura O
Second Department of Internal Medicine, Sapporo Medical College, Japan.
Ann Nucl Med. 1989 Jul;3(2):89-93. doi: 10.1007/BF03164590.
We report on the clinical utility of radionuclide angiography and gated blood pool single emission computed tomography (gated blood pool SPECT) in two patients having congenital heart disease. Both conventional equilibrium radionuclide angiography and gated blood pool SPECT demonstrated the connection of the great vessels with both ventricles in a 15-year-old male patient with a congenitally corrected transposition of the great vessels. In particular, the latter procedure could provide very useful information about the ventricular morphology and inversion which is important for diagnosing this disorder. The second case is an extremely rare 42-year-old female patient with a single atrium and single ventricle. She underwent first-pass and multiple gated blood pool angiography from the anterior, right and left oblique views. The combination of these scintigraphic techniques revealed an insufficiency in anatomical correlations among the single atrium, atrioventricular valve, single ventricle and the great vessels in addition to the connection of superior vena cava with the single atrium, and the atrioventricular valve. Thus, conventional equilibrated angiography from multiple views and gated blood pool SPECT seems to be very reliable not only for anatomical evaluation but also for clinical course observation in patients with complicated congenital heart disease.
我们报告了放射性核素血管造影和门控心血池单光子发射计算机断层扫描（门控心血池SPECT）在两名先天性心脏病患者中的临床应用。在一名患有先天性矫正型大动脉转位的15岁男性患者中，传统的平衡放射性核素血管造影和门控心血池SPECT均显示了大血管与两个心室的连接。特别是，后一种检查方法可以提供有关心室形态和反转的非常有用的信息，这对于诊断这种疾病很重要。第二例是一名极为罕见的42岁女性患者，患有单心房和单心室。她从前位、右斜位和左斜位进行了首次通过和多次门控心血池血管造影。这些闪烁显像技术的结合除了显示上腔静脉与单心房以及房室瓣的连接外，还揭示了单心房、房室瓣、单心室和大血管之间解剖学关联的不足。因此，多视角的传统平衡血管造影和门控心血池SPECT不仅对于复杂先天性心脏病患者的解剖学评估似乎非常可靠，而且对于临床病程观察也很可靠。
