Nakajima K, Bunko H, Tonami N, Hisada K, Mukai K, Misaki T, Iwa T
Clin Nucl Med. 1986 Aug;11(8):564-7. doi: 10.1097/00003072-198608000-00009.
A case with congenitally corrected transposition of the great arteries associated with the pre-excitation syndrome is presented. A gated-blood-pool study and Tl-201 myocardial imaging were performed using SPECT. The tomographic gated-blood-pool images showed the shapes of the right ventricle (RV) and left ventricle (LV), i.e., anatomically LV and RV respectively, to be reversed from that of normal patients. The relationships of the great vessels and ventricles also were easily visualized. RV hypertrophy (anatomical LV) was visualized on the Tl-201 images. Phase analysis showed the earliest excitation was in the anteroseptal region near the base of the LV, which was consistent with the site of the accessory conduction pathway. The gated-blood-pool and Tl-201 tomographic studies were helpful for demonstrating the corrected transposition of the great arteries and the pre-excitation syndrome.
本文报告1例先天性矫正型大动脉转位合并预激综合征的病例。采用单光子发射计算机断层扫描（SPECT）进行门控心血池显像和铊-201心肌显像。断层门控心血池图像显示右心室（RV）和左心室（LV）的形态，即解剖学上的左心室和右心室，与正常患者相反。大血管与心室的关系也很容易显示。铊-201图像显示右心室肥厚（解剖学上的左心室）。相位分析显示最早的激动位于左心室底部附近的前间隔区域，这与附加传导通路的部位一致。门控心血池显像和铊-201断层扫描研究有助于显示矫正型大动脉转位和预激综合征。
