Imaging of the Coronary Artery Fistula from Left Main Coronary Artery to Pulmonary Artery with Multidetector Computed Tomography

從左主冠狀動脈到肺動脈的冠狀動脈瘻管在多切面電腦斷層攝影的影像

張勝南(Sheng-Nan Chang) ； 李文正(Wen-Jeng Lee) ； 江福田(Fu-Tien Chiang) ； 曾春典(Chuen-Den Tseng)

《Acta Cardiologica Sinica》 23卷3期 (2007/09) Pp. 177-180

摘要

冠狀動脈瘻管是屬於先天性的疾病，但是也有可能會因為胸部創傷或者是特定醫療行為的併發症所產生。由於初期的冠狀動脈瘻管大多沒有臨床症狀，所以大多數的冠狀動脈瘻管都是在無意間被診斷出來的。比如說在例行性的心導管檢查，或者是在解剖的時候所發現到的。在這篇個案報告裡的五十四歲男性患者罹患了無症狀的左主冠狀動脈瘻管，而這個冠狀動脈瘻管經由冠狀動脈攝影，還有多切面電腦斷層攝影被診斷與肺動脈相連接。而且重組後的多切面電腦斷層攝影的影像跟冠狀動脈攝影所呈現的結果有不錯的吻合性。所以從這篇個案報告我們可以了解到，多切面電腦斷層攝影的呈像結果不遜於傳統的冠狀動脈攝影，甚至可以用來檢查與診斷具有複雜構造的冠狀動脈瘻管。

關鍵字

冠狀動脈瘻管 ； 多切面電腦斷層攝影 ； 冠狀動脈攝影

並列摘要

Coronary artery fistulas (CAFs) are mostly congenital, but they have been reported to be acquired as complications of chest trauma or medical procedures. Most adults with CAFs are diagnosed incidentally, because they are initially asymptomatic. CAFs are usually discovered on routine coronary angiography or at autopsy. In this article, we present a 54-year-old male with an asymptomatic left main coronary artery to main pulmonary artery fistula in which the diagnosis was made by multidetector computed tomography (MDCT) and coronary angiography. Reconstructed images obtained on MDCT coronary angiography are illustrated with correlative angiographic images. It shows MDCT could be useful in diagnosis and in delineating the complex anatomy of a coronary artery fistula as well as for conventional coronary angiography.

並列關鍵字

Coronary artery fistula ； Multidetector row computed tomography ； Coronary angiography