Toh Hiroyuki, Mori Shumpei, Shimoyama Shinsuke, Izawa Yu, Yokota Shun, Shinkura Yuto, Takeshige Ryo, Nagasawa Akira, Soga Fumitaka, Tanaka Hidekazu, Shinke Toshiro, Yokawa Koki, Matsueda Takashi, Okita Yutaka, Hirata Ken-Ichi
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan.
Echocardiography. 2018 Apr;35(4):537-540. doi: 10.1111/echo.13864. Epub 2018 Mar 22.
We present optimally reconstructed three-dimensional computed tomography images of left ventricular outflow obstruction, comprehensive left ventriculography, and comparable intraoperative transesophageal echocardiography, as well as serial operative pictures, to facilitate the understanding of live-heart anatomy of hypertrophic obstructive cardiomyopathy. As shown in this case, detailed morphological analysis around the left ventricular outflow tract using preoperative computed tomography would be feasible and useful. The present case highlights the importance of obtaining complete three-dimensional information present in the acquired computed tomography dataset because computed tomography is not entirely noninvasive or free of radiation exposure and contrast material.
我们展示了左心室流出道梗阻的最佳重建三维计算机断层扫描图像、全面的左心室造影以及术中与之可比的经食管超声心动图，还有系列手术图片，以助于理解肥厚型梗阻性心肌病的心脏活体解剖结构。如本病例所示，术前使用计算机断层扫描对左心室流出道周围进行详细的形态学分析是可行且有用的。本病例突出了获取所采集的计算机断层扫描数据集中完整三维信息的重要性，因为计算机断层扫描并非完全无创，也无法避免辐射暴露和造影剂。
