Xin Hao, Zhu Mei
Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Quant Imaging Med Surg. 2023 Feb 1;13(2):1164-1173. doi: 10.21037/qims-22-502. Epub 2022 Nov 11.
Anomalous origin of the coronary artery from the pulmonary artery is a rare type of congenital heart disease (CHD). According to the establishment of collateral circulation and the abnormal anatomy of coronary arteries, there are several clinical types. In some clinical types, serious cardiac insufficiency can arise in the early stage of the condition, which, if not promptly treated, can endanger the patient's life. Up to 90% of infants with an anomaly involving the left coronary artery die within the first year of life. The treatment of the disease is to restore the double coronary circulation as soon as possible by surgery after early detection by diagnostic imaging. Presently, medical imaging is the most commonly used examination method for a diagnosis of the disease. The comprehensive application of various imaging modalities is the basis for the diagnosis and follow-up of coronary artery origin from the pulmonary artery. The current review mainly summarized the common signs and application advantages of different imaging techniques in the diagnosis of anomalous origin of the coronary artery from the pulmonary artery. It also highlights existing problems and provides an important theoretical basis and practical guidance for imaging techniques about the coronary artery originating from the pulmonary artery's diagnosis and treatment.
冠状动脉起源于肺动脉是一种罕见的先天性心脏病（CHD）类型。根据侧支循环的建立以及冠状动脉的异常解剖结构，存在几种临床类型。在某些临床类型中，病情早期可能出现严重的心功能不全，若不及时治疗，会危及患者生命。高达90%的涉及左冠状动脉异常的婴儿在出生后第一年内死亡。该病的治疗方法是在通过诊断性影像学早期检测到后，尽快通过手术恢复双冠状动脉循环。目前，医学影像学是诊断该病最常用的检查方法。各种成像模态的综合应用是诊断和随访冠状动脉起源于肺动脉的基础。本综述主要总结了不同成像技术在诊断冠状动脉起源于肺动脉中的常见征象及应用优势。还突出了现存问题，并为冠状动脉起源于肺动脉的诊断和治疗的成像技术提供重要的理论依据和实践指导。
