Kommerell Diverticulum in Adults: Evaluation of Routine CT Examinations.
Kommerell Diverticulum in Adults: Evaluation of Routine CT Examinations.
复制标题
成人科默雷尔憩室：常规 CT 检查的评估。
DOI：
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Y. Imai
中科院分区：
文献类型：
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作者：
T. Ichikawa;J. Koizumi;Keisuke Tanno;Tomohisa Okochi;Takakiyo Nomura;S. Shimura;Y. Imai
未标记
目的：探讨成人Kommerell憩室（KD）的CT表现。
材料和方法
采用64-128层螺旋CT常规检查，发现左主动脉弓伴迷走右锁骨下动脉（LAARS）87例，右主动脉弓伴迷走左锁骨下动脉（RAALS）28例。对两组患儿进行川崎病发病率评估和川崎病大小测量，并对两组结果进行比较。我们评估了两组患者相关的先天性和后天性心血管疾病。
结果
各组KD发生率分别为：RAALS组100%，LAARS组48.3%，RAALS组KD发生率明显高于LAARS组。平均KD大小：RAALS组32.8mm，LAARS组17.8mm，RAALS组KD大于LAARS组。2例合并先天性心脏病。部分病例合并获得性主动脉疾病，包括主动脉瘤、夹层、严重动脉粥样硬化和动脉炎。
结论
KD在阿萨成人患者中很常见，一些成人患者与主动脉疾病相关。
UNLABELLED
Objection: To evaluate of Kommerell diverticulum (KD) in adults during routine CT examinations.
MATERIAL AND METHODS
Eighty-seven cases of left aortic arch with aberrant right subclavian artery (LAARS) and 28 cases of right aortic arch with aberrant left subclavian artery (RAALS) were found on routine CT examinations using 64-128 multidetector CT. We assessed the incidence of KD and measured the size of KD, and compared the results between both groups. We evaluated associated congenital and acquired cardiovascular diseases on both groups.
RESULTS
The incidence of KD in each group was as follows: RAALS 100 % and LAARS 48.3 % and incidence of KD in RAALS group was significant higher than in LAARS group. The mean KD size was as follows: RAALS 32.8 mm and LAARS 17.8 mm and, the size of KD in RAALS group was larger than that in LAARS group. Two cases were associated with congenital heart disease. Several cases were associated with acquired aortic diseases including aortic aneurysm, dissection, severe atherosclerosis and aortitis.
CONCLUSION
KD was common among adults with an ASA and some adults were associated with aortic diseases.