Pipitone S, Rinaldi C, La Monaca P, Garaffa D, Grillo R, Rubino A, Sperandeo V
Radiol Med. 1987 Apr;73(4):283-8.
The exact site of an interventricular septal defect (VSD) is important mainly to program surgical treatment. The present study takes into consideration the possibility of the axial angiocardiographic method to identify the site of the interventricular septal defect. With this goal 126 cases of VSD in infancy were retrospectively studied with left ventriculograms using angled "long-axial" and "four chambers" views. In 62 cases the anatomic-angiographic correlation of the VSD site was reached, and was confirmed at surgery. The most frequent localization of the VSD was perimembranous (89 cases, 70%). The rarest localizations were the sub-arterial and the multiple VSD. The personal experience agrees with the data found in literature, namely that angiocardiography performed with axial views has an elevated diagnostic reliability in the various types of VSD.
室间隔缺损（VSD）的确切部位主要对制定手术治疗方案很重要。本研究考虑了采用轴位心血管造影法来确定室间隔缺损部位的可能性。为此，对126例婴儿期室间隔缺损患者进行了回顾性研究，采用了成角的“长轴”和“四腔心”视图的左心室造影。62例患者实现了室间隔缺损部位的解剖与造影相关性，并在手术中得到证实。室间隔缺损最常见的部位是膜周部（89例，70%）。最罕见的部位是动脉下型和多发室间隔缺损。个人经验与文献中的数据一致，即采用轴位视图进行的心血管造影在各类室间隔缺损中具有较高的诊断可靠性。
