Lin W Y, Kao C H, Huang J L, Wang S J, Hsu C Y, Liao S Q, Chen Y T
Department of Nuclear Medicine, Taichung Veterans General Hospital, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1994 Sep;10(9):528-32.
A case of single left coronary artery is presented with the correlation between the results of thallium-201 (T1-201) myocardial single photon emission computed tomography (SPECT) and coronary angiographic findings. The chest pain in this case might be partly secondary to the myocardial ischemia, under stress, which could result from the steal phenomenon to normal perfusion myocardium due to anatomical anomaly of single left coronary artery. Our findings suggest that T1-201 myocardial SPECT could be a useful method for detecting myocardial ischemia in patients with single left coronary artery.
本文报告了一例左冠状动脉单支病变病例,并阐述了铊-201(Tl-201)心肌单光子发射计算机断层扫描(SPECT)结果与冠状动脉造影结果之间的相关性。该病例中的胸痛可能部分继发于应激状态下的心肌缺血,这可能是由于左冠状动脉单支解剖异常导致正常灌注心肌出现窃血现象所致。我们的研究结果表明,Tl-201心肌SPECT可能是检测左冠状动脉单支病变患者心肌缺血的一种有用方法。