Prenatal assessment of coronary artery anatomy using color Doppler in cases of D-transposition of the great arteries: Case reports
Prenatal assessment of coronary artery anatomy using color Doppler in cases of D-transposition of the great arteries: Case reports
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使用彩色多普勒对大动脉 D 型转位病例中的冠状动脉解剖进行产前评估：病例报告
DOI：
10.1111/jog.13214
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发表时间：
2017
影响因子：
1.6
通讯作者：
Irahara M.
中科院分区：
文献类型：
--
作者：
Kaji T;Hayabuchi Y;Maeda K;Nakayama S;Irahara M.
冠状动脉 (CA) 解剖结构异常在 D 型大动脉转位 (TGA) 病例中很常见，并且可能是动脉调转手术期间的一个重要危险因素。在这里，我们报告了三例 TGA 病例，其中使用彩色多普勒成像在产前评估了 CA 解剖结构。除一例中的左旋支 CA 外，所有 CA 均已被识别。在我们的三个病例之一中，CA 解剖学得到了完全正确的诊断。在其余两例中，一名患者无法看到左旋支 CA，另一名患者未能正确诊断左前降支 CA 的起源。我们发现在 TGA 中使用彩色多普勒对 CA 解剖进行产前评估是可行的，但诊断准确性有限。我们预计，更多先进技术的经验将提高准确性。
Abnormal coronary artery (CA) anatomy is common in cases of D‐transposition of the great arteries (TGA) and can be a significant risk factor during the arterial switch operation. Here, we report three cases of TGA in which CA anatomy was assessed prenatally using color Doppler imaging. All CA, except the left circumflex CA in one case, were identified. CA anatomy was completely correctly diagnosed in one of our three cases. In the two remaining cases, the left circumflex CA could not be visualized in one patient, and the origin of the left anterior descending CA was not correctly diagnosed in the other. We found that prenatal assessment of CA anatomy using color Doppler in TGA was feasible, but the diagnostic accuracy was limited. We anticipate that more experience with the advancing technology will improve accuracy.