Hoppe U C, Dederichs B, Deutsch H J, Theissen P, Schicha H, Sechtem U
Klinik III für Innere Medizin, Universität Köln, Germany.
Radiology. 1996 Jun;199(3):669-77. doi: 10.1148/radiology.199.3.8637985.
To compare the diagnostic value of transesophageal echocardiography and magnetic resonance (MR) imaging with that of transthoracic echocardiography in the evaluation of congenital heart disease in adults and adolescents.
Corresponding transesophageal echocardiographic and MR images obtained in 61 patients (aged 14-74 years; 28 female, 33 male) with congenital cardiac abnormalities were analyzed retrospectively. Results were compared with those of transthoracic echocardiography in all patients and were confirmed by using cardiac catheterization (n = 41) and/or surgery (n = 41).
of the 344 abnormalities detected with at least one imaging technique, 259 were demonstrated with transthoracic echocardiography. Transesophageal echocardiography depicted the atrioventricular junction and atrial structures the best. MR imaging was the only technique to fully depict 31 extracardiac abnormalities. In complex cardiac defects, the combination of all three imaging techniques was best.
Transesophageal echocardiography and MR imaging are beneficial complementary imaging techniques in adults or adolescents with congenital heart disease.
比较经食管超声心动图和磁共振成像(MR)与经胸超声心动图在评估成人和青少年先天性心脏病中的诊断价值。
回顾性分析61例(年龄14 - 74岁;女性28例,男性33例)先天性心脏异常患者的相应经食管超声心动图和MR图像。将结果与所有患者的经胸超声心动图结果进行比较,并通过心导管检查(n = 41)和/或手术(n = 41)进行确认。
在至少一种成像技术检测到的344处异常中,经胸超声心动图显示出259处。经食管超声心动图对房室交界处和心房结构的显示最佳。MR成像是唯一能完整显示31处心外异常的技术。在复杂心脏缺陷中,三种成像技术联合使用效果最佳。
经食管超声心动图和MR成像对于患有先天性心脏病的成人或青少年是有益的互补成像技术。