法乐氏四联症合并冠状动脉异常的影像学诊断及其临床意义分析

目的：探讨法乐氏四联症合并冠状动脉异常的解剖类型、影像学诊断并对其临床意义加以分析。资料与方法：1986年6月～1996年10月间临床资料完整的126例法四均经手术证实，其中7例合并冠状动脉异常，男5例，女2例，平均9．4岁。术前均采用影像学综合检查。结果：7例法四中，造影显示冠状动脉清晰者4例，有2例因手术中切断横过右心室漏斗部前方的异常冠状动脉而死亡。结论：法四合并严重的冠状动脉异常并非少见，应当引起影像学医师和外科医师足够的重视。

Tetralogy of Fallot with Coronary Artery Anomalies: Medical Imaging Diagnosis and Clinical Significance

Purpose:To make a further study about the anatomic types and medical imaging disp1ays of Tetralogy of Fallot with coronary artery anomalies and to analyse its chinical significance. Materials and methods:One hundred twenty-six patients with Tetralogy of Fallot were confirmed by corrective operation 1986 to 1996. Coronary artery anomalies were identified in seven patients with Tetralogy of Fallot, male 5,female2,age average 9. 4years. All patients were examined by comprehensive utilization of medical imaging. Results: In the seven patients with Tetralogy of Fal10t,four patients' coronary arteries were clearly discernible in Cardioangiography. Two patients died due t0 their coronary arteries traversing the front of right ventricle infundibulum being cut off in corrective operation. Conclusion:Tetralogy of Fallot with critical coronary artery anomalis is not rare. It is necessary for the radiologists and surgeons to pay great attention to the problem.