Lopez-Majano V, Dulay C C, Sansi P
Eur J Nucl Med. 1980 Apr;5(2):193-7. doi: 10.1007/BF00252485.
In two cases of tricuspid atresia and one of severe tricuspid stenosis the Glenn and Fontan operation was performed. These patients were evaluated post-operatively by studying the distribution of the ventilation with Xe-133 on a gamma camera; the pulmonary circulation was evaluated by injection through antecubital and pedal veins of TC99mMAA and angiography was performed by "in vivo" tagging of red blood cells with TC99m04 preceded by the administration of stannous pyrophosphate. The scintigraphic findings in two cases consisted of decreased ventilation of the left lung and grossly normal perfusion of both lungs. In one case there was abundant collateral because of partial occlusion of the anastomosis between the superior vena cava and right pulmonary artery. The patients also had angiocardiography with contrast medium; the correlation between the scintigraphic and angiocardiographic findings was excellent.
在两例三尖瓣闭锁和一例严重三尖瓣狭窄病例中实施了格林和方坦手术。通过使用伽马相机研究Xe - 133通气分布对这些患者进行术后评估；通过经肘前静脉和足背静脉注射TC99mMAA评估肺循环，并在注射焦磷酸亚锡后用TC99m04对红细胞进行“体内”标记来进行血管造影。两例的闪烁扫描结果显示左肺通气减少且双肺灌注大致正常。一例因上腔静脉与右肺动脉之间吻合口部分闭塞而有大量侧支循环。患者还进行了造影剂心血管造影；闪烁扫描和心血管造影结果之间的相关性极佳。
