The Application Value of 64slice CT in Diagnosis of Anomalous Coronary Artery Origination and Travelation_West China Medical Journal

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Department of Radiology,the NO.2 Hospital of Yibin,Yibin Sichuan 644000,China;

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Keywords：

冠状动脉; 体层摄影术; X线计算机

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探讨64层螺旋CT在诊断冠状动脉起源、走行异常中的价值。方法: 回顾性分析2007年8月8日至2009年2月1日行冠状动脉64层螺旋CT血管造影检查患者的结果,共635例。对每位患者图像行容积重现(VR)、多平面重建(MPR)、曲面重建(CPR)心脏及冠状动脉,分别观察冠状动脉起始部位、走行情况。结果:635例冠状动脉各段清楚显示,发现冠状动脉起源异常共23例(23/635,3.6%),以起源于主动脉窦上方为主;发现心肌桥共132例(132/635,20.8%),以左冠状动脉前降支(LAD)心肌桥为多,共127例(127/132,96.2%)。结论:64层螺旋CT显示冠状动脉与心脏关系直观、准确,在诊断冠状动脉起源、走行中有重要价值。

Citation： DIAO Xianming,TANG Guangcai,CHEN Hongliang,et al.. The Application Value of 64slice CT in Diagnosis of Anomalous Coronary Artery Origination and Travelation. West China Medical Journal, 2009, 24(8): 2008-2010. doi: Copy

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1. 王新江,杨立,蔡祖龙,等．64层螺旋CT对先天性冠状动脉异常起源的显示[J]．中国医学影像技术,2006,22(10):1510-1512.
2. 张立．冠状动脉起源异常29例[J].四川医学,2002,23(3):232-233.
3. 刘新,蔡祖龙,蔡幼铨,等.冠状动脉CTA诊断心肌桥的临床价值[J]．中国医学影像学杂志,2006,14(4):262- 265.
4. BASSOC,CORRADO D,THIENE G．Congenital coronary artery anomalies as an important cause of sudden death in the young[J]．Cardiol Rev,2001,9:312-317.
5. BARTH CW,ROBERTS WC．Left main coronary artery originating from the right sinus of Valsalva and coursing between the aorta and pulmonary trunk[J].J Am Coll Cardiol,1986,7:366373.
6. WANG X J, YANG L, CAI Z L, et al. Identification of anomalous origin of coronary arteries in adults with 64slice spiral CT[J]. Chin J Med Imaging Technol,2006,22(10):1510-1512.
7. ZHANG L.Conoary artery origin anomalies:analysis of 29 cases[J].Sichuan Medical Journal, 2002,23(3):232-233.
8. LIU X, CAI L, CAI Y Q, et al. Clinical Application of coronary CT angiography in diagnosing myocardial bridge[J]. Chinese Journal of Medical Imaging,2006,14(4):262- 265.
9. MOHLENKAMP S,HORT W,GE J, et al．Update on myocardial bridge．Circulatin,2002,106(20):2616-2622．.
10. LALFER L I,WEINER B H．Percutaneous translumial coronary angioplasty of a coronary artery stenosis at the site of myocardial bridging．Cardlology,1991,79:245-248.

West China Medical Journal

The Application Value of 64slice CT in Diagnosis of Anomalous Coronary Artery Origination and Travelation

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