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二维脉冲及彩色多普勒超声心动图诊断右冠状动脉瘘
引用本文:王芬蝶,方秀英,杨俊华,徐苏丹,蒋文平.二维脉冲及彩色多普勒超声心动图诊断右冠状动脉瘘[J].苏州大学学报(自然科学版),1990(3).
作者姓名:王芬蝶  方秀英  杨俊华  徐苏丹  蒋文平
作者单位:苏州医学院附属第一医院心血管病研究室 (王芬蝶,方秀英,杨俊华,徐苏丹),苏州医学院附属第一医院心血管病研究室(蒋文平)
摘    要:应用二维脉冲及彩色多普勒超声心动图诊断右冠状动脉瘘2例。此2例临床初诊为乏氏窦瘤破裂、动脉导管未闭合并主动脉瓣病变。其中1例经心血管造影和手术证实为有冠状动脉瘘。右冠状动脉瘘的二维脉冲及彩色多普勒超声心动图特征为:(1)石冠状动脉瘘异常粗大(直径1.2~1.5cm);(2)石房室沟有环样结构;(3)在右冠状动脉瘘管内及其入口处可测到连续性湍流。

关 键 词:脉冲及彩色多普勒超声心动图  石冠状动脉瘘

Diagnosis of Right Coronay Artery Fistula Using Two-dimensional Pulsed Doppler Echocardiography and Color Flow Imaging
Wang Fends et al.Diagnosis of Right Coronay Artery Fistula Using Two-dimensional Pulsed Doppler Echocardiography and Color Flow Imaging[J].Suzhou University Journal of Medical Science,1990(3).
Authors:Wang Fends
Abstract:Using two-dimensional and pulsed doppler echocardiography(2D-PDE)and colortlow imagining(CFI),2 patients with right coronary artery fistula(RCAF)werediagnosed consecutively,one is female aged 37,another is male aged 21 to whomdiagnosis has deen confirmed by angiography and surgery.But before 2 D-PDE andCFI,both cases were clinically mistaken for rapture of aneurysm of the sinus ofvalsalva,patent ductus arteious and aortic regurgitation.The 2-PDE and CFI fea-tures of RCAF were as fellows:1.remarkable dilation of the right coronary artery(1.2-1.5 cm);2.circular structure in right atrio-ventricular grcove region;3.acontinuors flow disturbance within the RCAF lumen and at the entry of the RCAF.
Keywords:2D pulsed doppler echocardiography  color flow imaging RCAF
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