摘要
目的:分析儿童复杂先天性心脏病并发冠状动脉畸形的发生率,探讨冠状动脉造影的诊断价值。方法:2006年1月～2009年6月在重庆医科大学儿童医院心脏中心行心导管检查心血管造影的患儿229例,对患儿复杂先心病的病种构成、冠状动脉畸形发生率、冠脉畸形类型及其发生率、异常冠状动脉跨过右心室流出道的病种、跨过右心室流出道的异常冠状动脉类型,以及患儿预后进行回顾性分析。结果:229例患儿共检出27例冠状动脉先天性变异,检出率为11.8%;其中左单支冠状动脉15例,发生率6.55%,占发生冠脉畸形中的55.56%。27例冠状动脉先天性变异中16例异常冠状动脉跨过右心室流出道,占儿童复杂先天性心脏病的6.99%,异常冠状动脉跨过右心室流出道的先心病类型分别为法乐氏四联症7例、右室双出口3例、肺动脉闭锁/室间隔缺损3例、完全性大动脉转位1例、完全性房室间隔缺损1例、单心室/大动脉移位1例。229例患儿照影死亡1例,占复杂先天性心脏病并冠状动脉畸形造影总数的3.70%,占复杂先天性心脏病造影总数的0.44%,手术死亡3例,占复杂先天性心脏病并冠状动脉畸形手术患儿的16.67%。结论:儿童复杂先心病冠脉畸形的发生率高于正常人群;冠状动脉造影是确诊各种冠状动脉先天性变异的重要手段。
Objective：Analysis of complex congenital heart disease of children and the incidence of coronary abnormalities to explore the21（4）：453-457. diagnostic value of coronary angiography.Methods：Angiocardio graphy cardiac catheterization of 229 children in Heart Center of Children＇s Hospital Chongqing Medical University from January 2006 to June 2009,the results were retrospectively analyzed,including the types and proportion of congenital heart diseases,incidences of coronary artery abnormalities,incidences of abnormal coronary artery crossing right ventricular outflow tract and prognosis.Results：Altogether,27（11.8%）cases of children with Congenital Coronary Artery Anomalies were detected.Highest incidenc（e6.55%）is L-coronary artery,which occupy 55.56% of Coronary Artery Anomalies.16（6.99%） cases of abnormal coronary artery crossing the right ventricular outflow tract,which including 7 cases of TOF,3 cases of DORV,3 cases of PA/VSD,1 case of TGA,1 case of CAVC and 1 case of SV/TGA.1 patient died of angiocardiography among the 27 cases of complicating coronary artery malformation,accounting for 3.7%in the total number of the angiography of complex congenital heart disease complicating coronary artery malformation,accounting for 0.44%in the total number of complex congenital heart disease.3 cases died after surgery, accounting for 16.7% of surgery.Conclusion：The incidence of coronary artery abnormalities in complex congenital heart disease in children is higher than the normal population;coronary angiography is an important means of final diagnosis coronary artery congenital variation.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2010年第7期1070-1073,共4页
Journal of Chongqing Medical University
关键词
冠状动脉畸形
先天性心脏病
心血管造影术
Coronary artery anomalies
Congenital heart disease
Angiocardiography
