| 摘要: |
| 目的：探讨经胸超声心动图(TTE)对右肺动脉起源于升主动脉（AORPA）的诊断及随访价值。方法：回顾性分析我院11例经手术或CTA检查确诊的AORPA影像学资料，探讨TTE对AOPRA的诊断及随访价值。结果：11例患者经手术或CTA证实，TTE术前确诊10例，漏诊1例，诊断符合率90.9%。所有病例均为近端型，合并中-重度肺动脉高压，多合并其他心脏畸形。10例患者接受外科手术矫治，1例因阻力性肺动脉高压未手术。10例患者术后随访：9例吻合口通畅；1例右肺动脉狭窄。结论：在AORPA的临床诊断及随访中，TTE是首选的简单有效且无创的检查手段。 |
| 关键词: 超声心动描记术 肺动脉起源异常 诊断 |
| DOI： |
| 投稿时间：2019-11-17修订日期：2019-12-09 |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目）, |
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| The value of diagnosis and follow-up in anomalous origin of the right pulmonary artery from the ascending aorta by the transthoracic echocardiography |
| Zhao li,Wang qing-hui,Luo qing-yi,Su xuan,Chen jian,Ding yun-chuan |
| () |
| Abstract: |
| Objective：To investigate the value of transthoracic echocardiography (TTE) in the diagnosis and follow-up of anomalous origin of the right pulmonary artery from the ascending aorta (AORPA). Methods: The imaging data of 11 cases of AORPA diagnosed by operation or Computed Tomography Angiography (CTA) were analyzed retrospectively, and the value of TTE in the diagnosis and follow-up of AORPA was discussed. Results: 11 cases were confirmed by surgery or CTA.10 cases were diagnosed clearly while 1 case was missed before surgery, the diagnostic coincidence rate was 90.0%.All cases had a proximal origin from the ascending aorta in our series. A total of 11 patients with moderate to severe pulmonary arterial hypertension, and most of them were associated with other cardiovascular abnormalities.The surgery was performed in 10 cases with AORPA, and 1 case had not operated due to severe pulmonary hypertension. Postoperative follow-up of the 10 patients: 9 cases had smooth anastomosis,1 case failed due to the right pulmonary artery stenosis. Conclusion: TTE plays an important role in the non-invasive and accurate diagnosis for clinical diagnosis and follow-up of AORPA. |
| Key words: Echocardiography Anomalous origin of pulmonary artery diagnosis |
