Jones R H, Austin E H, Peter C A, Sabiston D C
Ann Surg. 1981 Jun;193(6):710-8. doi: 10.1097/00000658-198106000-00006.
Radionuclide angiocardiography provides a noninvasive assessment of cardiac function and blood flow through the heart and lungs. During the past three years, this procedure has been used at the Duke University Medical Center for evaluation of 343 patients with congenital heart disorders. A review of this experience shows tat the resulting data were frequently useful in the surgical management of these patients. In patients with abnormal blood flow patterns, noninvasive imaging of blood flow was useful before and after operative correction. Radionuclide measurements of left-to-right intracardiac shunts were sufficiently accurate for use in the initial evaluation of patients with murmurs and to document the absence of shunt after operative closure of intracardiac septal defects. Moreover, measurements of right-to-left cardiac shunts were of benefit in the management of children with cyanotic heart disease. Measurements of left ventricular function obtained during rest and exercise were most useful in patients with origin of the left coronary artery from the pulmonary artery and in patients with congenital valvular insufficiency. This experience demonstrates that radionuclide angiocardiography provides important measurements of central hemodynamics and cardiac function which are useful in the management of patients with congenital heart disorders.
放射性核素心血管造影术可对心脏功能以及流经心脏和肺部的血流进行无创评估。在过去三年中，杜克大学医学中心已使用该检查方法对343例先天性心脏病患者进行评估。对这一经验的回顾表明，所得到的数据在这些患者的外科治疗中常常很有用。在血流模式异常的患者中，手术矫正前后的血流无创成像均很有用。放射性核素对心内左向右分流的测量足够准确，可用于对有杂音患者的初步评估，并记录心内间隔缺损手术闭合后分流的消失情况。此外，对右向左心脏分流的测量对发绀型心脏病患儿的治疗有益。静息和运动时获得的左心室功能测量值对左冠状动脉起源于肺动脉的患者以及先天性瓣膜关闭不全的患者最为有用。这一经验表明，放射性核素心血管造影术可提供重要的中心血流动力学和心脏功能测量值，这些测量值对先天性心脏病患者的治疗很有用。
