PDF(Pubmed)
Abstract：
Anomalous origin of the coronary artery from the pulmonary artery is a rare type of congenital heart disease (CHD). According to the establishment of collateral circulation and the abnormal anatomy of coronary arteries, there are several clinical types. In some clinical types, serious cardiac insufficiency can arise in the early stage of the condition, which, if not promptly treated, can endanger the patient\'s life. Up to 90% of infants with an anomaly involving the left coronary artery die within the first year of life. The treatment of the disease is to restore the double coronary circulation as soon as possible by surgery after early detection by diagnostic imaging. Presently, medical imaging is the most commonly used examination method for a diagnosis of the disease. The comprehensive application of various imaging modalities is the basis for the diagnosis and follow-up of coronary artery origin from the pulmonary artery. The current review mainly summarized the common signs and application advantages of different imaging techniques in the diagnosis of anomalous origin of the coronary artery from the pulmonary artery. It also highlights existing problems and provides an important theoretical basis and practical guidance for imaging techniques about the coronary artery originating from the pulmonary artery\'s diagnosis and treatment.
摘要：
冠状动脉的异常起源于肺动脉是一种罕见的先天性心脏病（CHD）。根据侧支循环的建立和冠状动脉的异常解剖，有几种临床类型。在某些临床类型中，严重的心功能不全可能出现在疾病的早期阶段，which,如果不及时治疗，会危及病人的生命。多达90％的涉及左冠状动脉的异常婴儿在出生后的第一年内死亡。该疾病的治疗是通过诊断影像学早期发现后，通过手术尽快恢复双冠状动脉循环。目前,医学成像是诊断该疾病最常用的检查方法。各种成像方式的综合应用是诊断和随访冠状动脉起源于肺动脉的基础。本综述主要总结了不同影像学技术在诊断冠状动脉异常起源于肺动脉中的常见征象及应用优势。同时也突出了存在的问题,为冠状动脉起源于肺动脉的影像技术的诊断和治疗提供了重要的理论依据和实践指导。
