论文部分内容阅读
目的 通过临床和心血管造影检查资料分析探讨 39例永存动脉干 (TAC)的病理分型及临床诊断。方法 39例TAC中 ,年龄 8个月至 2 5岁 ,平均 (7 9± 6 0 )岁。每例均经详问病史、常规体检、心电图、X线胸片和二维超声心动图检查及右心室和动脉干造影检查作出TAC的诊断。按Collett和Edwards分型方法分型 ,并结合VanPraagh分型进行讨论。 结果 按Collett和Edwards分型 ,Ⅰ型 4例 ,Ⅱ型 4例 ,Ⅲ型 3例 ,Ⅳ型 2 8例。结论 根据TAC定义 ,结合Tucuer的报道 ,Collett和Edwards分型的Ⅳ型可能为法洛四联症伴肺动脉闭锁 (假性动脉干 ) ,按VanPraagh分型更为合理。体循环侧支造影或电子束CT检查 ,在确定Collett和Edwards分型的Ⅳ型TAC是否为假性动脉干方面有重要价值。
Objective To investigate the pathological classification and clinical diagnosis of 39 cases of permanent arterial trunk (TAC) by clinical and cardiovascular angiography. Methods TAC was performed in 39 TAC patients aged 8 months to 25 years with an average of (7 9 ± 60) years. Each case was diagnosed by detailed history, routine physical examination, electrocardiogram, X-ray and two-dimensional echocardiography and right ventricular and arterial angiography. According to Collett and Edwards classification method, combined with VanPraagh classification for discussion. Results According to Collett and Edwards classification, type Ⅰ 4 cases, type Ⅱ 4 cases, type Ⅲ 3 cases, type Ⅳ 28 cases. Conclusion According to TAC definition and Tucuer’s report, Collett and Edwards type Ⅳ may be tetralogy of Fallot with pulmonary atresia (pseudo-arterial), according to VanPraagh classification is more reasonable. Cystic collateral angiography or electron beam computed tomography has important value in determining whether Collett and Edwards type IV TACs are pseudoaneurysms.