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目的提高影像医生在冠状动脉CTA中发现成人先天性心脏病的诊断意识。方法对2008年6月—2012年5月在CACTA检查中意外发现的成人先天性心脏病120例进行分析。结果其中房间隔缺损81例,室间隔缺损13例,动脉导管未闭2例,肺动脉狭窄1例,冠状动脉瘘3例,冠状动脉起源异常5例,主动脉二叶畸形3例,肺动脉四叶畸形1例,左侧三房心8例,部分性肺静脉异位引流3例。结论 CACTA可以同时诊断部分成人先心病,在诊断中应提高认识,减少漏诊、误诊。
Objective To improve the diagnosis of congenital heart disease detected by imaging doctors in coronary CTA. Methods One hundred and twenty cases of adult congenital heart disease found in CACTA from June 2008 to May 2012 were analyzed. Results Among them, there were 81 cases of atrial septal defect, 13 cases of ventricular septal defect, 2 cases of patent ductus arteriosus, 1 case of pulmonary stenosis, 3 cases of coronary artery fistula, 5 cases of coronary artery anomaly, 3 cases of aortic double leaf deformity and 4 cases of pulmonary artery 1 case of deformity, 8 cases of the left three-room heart, 3 cases of partial anomalous pulmonary venous drainage. Conclusions CACTA can diagnose CHD in some adults at the same time. Awareness should be raised in the diagnosis to reduce the missed diagnosis and misdiagnosis.