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Pediatric great vessel anomalies: initial clinical experience with spiral CT angiography.

机译:小儿大血管异常:螺旋CT血管造影的初步临床经验。

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摘要

PURPOSE: To evaluate the use of spiral computed tomographic (CT) angiography for the diagnosis of pediatric great vessel anomalies. MATERIALS AND METHODS: Techniques used in adult CT angiography were modified to allow imaging of 15 children aged 1 month to 12 years. Two-dimensional axial images and three-dimensional shaded surface display images of the airway and great vessels were generated from volumetric CT data and evaluated prospectively. Findings were correlated with results obtained at surgery (five patients), autopsy (one patient), bronchoscopy (one patient), or other imaging studies (eight patients). RESULTS: In 14 patients, CT angiography accurately demonstrated vessel anomalies, including double or right aortic arch (seven cases), aberrant subclavian artery (six cases), innominate artery compression syndrome (one case), unilateral pulmonary artery agenesis (one case), and pulmonary artery enlargement (three cases). One patient had normal vasculature. CONCLUSION: CT angiography is feasible inchildren and can be used to delineate abnormal great vessel anatomy.
机译:目的:评估螺旋CT(CT)在诊断小儿大血管异常中的应用。材料与方法:对成人CT血管造影术中使用的技术进行了改进,可以对15个1个月至12岁的儿童进行成像。从体积CT数据生成气道和大血管的二维轴向图像和三维阴影表面显示图像,并进行前瞻性评估。研究结果与手术(5例),尸检(1例),支气管镜检查(1例)或其他影像学检查(8例)获得的结果相关。结果:在14例患者中,CT血管造影准确显示了血管异常,包括双主动脉或右主动脉弓(七例),锁骨下动脉异常(六例),无名动脉压迫综合征(一例),单侧肺动脉发育不全(一例),和肺动脉扩大(3例)。一名患者的脉管系统正常。结论:CT血管造影是可行的儿童,可用于描述大血管异常解剖。

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