Elliott L P, Green C E, Rogers W J, Hood W P, Mantle J A, Papapietro S E
Am J Cardiol. 1982 Feb 1;49(2):369-80. doi: 10.1016/0002-9149(82)90515-x.
Biplane axial left cineventriculography represents the most accurate diagnostic technique for evaluating acquired and congenital heart disease. However, data have accumulated to indicate that without angled views of the left ventricle, the diagnosis will be incomplete and inaccurate in a significant number of patients. Left ventriculography is the acknowledged standard for left ventricular performance. However, comparison of the conventional or nonangled left anterior oblique left ventriculogram with the angled views of the left ventricle obtained with either two dimensional ultrasound or radionuclide left ventriculography may in many cases be invalid because dissimilar views are compared. The cranial-left anterior oblique view allows more accurate assessment of the precise degree and extent of asynergy, left ventricular aneurysms and ventricular septal defects. Left ventricular outflow tract abnormalities such as discrete subaortic stenosis and the obstructive form of hypertrophic cardiomyopathy can easily be distinguished. Lesions involving the mitral valve, especially mitral valve prolapse, are readily evaluated. Lastly, comparison with noninvasive tests of left ventricular performance can be more accurately performed.
双平面轴向左侧心室造影是评估获得性和先天性心脏病最准确的诊断技术。然而，越来越多的数据表明，如果没有左心室的斜位视图，在相当多的患者中诊断将不完整且不准确。左心室造影是公认的左心室功能标准。然而，在许多情况下，将传统的或非斜位的左前斜位左心室造影与通过二维超声或放射性核素左心室造影获得的左心室斜位视图进行比较可能是无效的，因为比较的是不同的视图。头侧-左前斜位视图能更准确地评估运动不协调、左心室室壁瘤和室间隔缺损的精确程度和范围。左心室流出道异常，如孤立性主动脉瓣下狭窄和肥厚型心肌病的梗阻型，很容易区分。涉及二尖瓣的病变，尤其是二尖瓣脱垂，很容易评估。最后，可以更准确地与左心室功能的非侵入性检查进行比较。
