tailieunhanh - Giá trị CLVT 256 dãy trong chẩn đoán rò động mạch vành và thống kê y văn

Bất thường động mạch vành (ĐMV) gồm bất thường nguyên ủy, đường đi, cấu trúc, tận cùng. Rò ĐMV là một bất thường tận cùng của ĐMV, đây là bất thường hiếm gặp, trong đó ĐMV tận cùng ở các buồng tim hoặc các mạch máu lớn. Bài viết trình bày đánh giá vai trò của CLVT 256 dãy trong bất thường bẩm sinh rò ĐMV. | NGHIÊN CỨU KHOA HỌC GIÁ TRỊ CLVT 256 DÃY TRONG CHẨN ĐOÁN NGHIÊN CỨU KHOA HỌC RÒ ĐỘNG MẠCH VÀNH VÀ THỐNG KÊ Y VĂN SCIENTIFIC RESEARCH Valuation of 256 - multidetector computer tomographyin detective of Coronary Artery Fistulas and literature review Lê Đức Nam Nguyễn Trung Thành Nguyễn Quốc Dũng SUMMARY Background Coronary artery anomalies can be included into anomalies of origin course structure and termination. Coronary artery fistula CAFs are rare congenital cardiacvascular anomalus with an abnormal connection between coronary artery termination and a great vessel or cardiac chamber. Purpose The valuation of MDCT 256 slices findings coronary artery fistula. Material and method This retrospective cross sectional study involved 1849 patients underwent 256 - slices coronary computer tomography angiography CCTA at the Huu Nghi Viet Xo hospital between July 2017 and July 2018. We evaluated the quantity and classify of CAFs the vessel of origin conduit site measure of varicose vein size of aneurysm. We also evaluated the coronary artery attach anomalies. Result Included in 1849 patients underwent 256 slices CCTA we determined 17 0 92 patients had CAFs 11 men 6 women main age 70 age range 54-88 years 17 17 patients undergoing first time with chest pain . The source of origin of CAFs 11 64 7 patients had two sources. The type of CAFs detected 15 88 2 patients had coronary to pulmonary trunk artery fistula. The CAFs with two sources of origin had most frequency of manifestration for varicose vein and aneurysm. We also findings 6 35 3 patients had coronary artery attach anomalies 4 6 patients had myocardial bringing. Conclusion The coronary artery fistula are un common congenital cardiac anomalies. Our study dertemined 0 92 which is higher than the known ratio base on literature review. The most common type of CAFs was coronary to pulmonary trunk artery. Coronary CTA with different rendering menthods had been s useful noninvasive imaging for the diagnosis of CAFs and other