中华医学杂志（英文版）Issue(11)：1655-1658,4.
Diagnosis of isolated dextrocardia using angiocardiography or surgery
Diagnosis of isolated dextrocardia using angiocardiography or surgery
马宁 1蒋世良 1黄连军 1赵世华 1徐仲英 1凌坚 1郑宏1
作者信息
- 1. Department of Radiology, Cardiovascular Institute, Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100037, China
- 折叠
摘要
Abstract
Background Isolated dextrocardia is a rare phenomenon and usually associated with multiple cardiac anomalies. This study was to evaluate the accuracy of diagnosis of isolated dextrocardia by using angiocardiography and to compare it with the results of surgery.Methods The clinical data of 27 cases of congenital isolated dextrocardia were collected to understand the diagnostic approaches to the major cardiac anomalies. All cases underwent angiocardiography followed by palliative or curative surgery. The diagnosis was compared by angiocardiography relying on segmental analysis with the pathological features observed in surgery.Results The results of angiocardiography of 22 patients were the same as the pathological features observed druing surgery, including one case with congenital left ventricular diverticulum was inadvertently omitted in angiocardiograhy. There were significantly dissimilar diagnoses between angiocardiograhy and post-operation in 5 patients, including anatomical corrected transposition of great arteries misinterpreted as corrected transposition of the great arteries in 1, complete transposition of great arteries misinterpreted as corrected transposition of the great arteries in 1, single ventricle misinterpreted as double-outlet right ventricle in 1, and anatomical double-outlet left ventricle misinterpreted as corrected transposition of the great arteries in 2. Misdiagnostic rate of angiocardiograhy was almost 20%.Conclusions Angiocardiography is of great significance in the diagnosis and classification of isolated dextrocardia. However, because of the intricacy of cardiac anomalies of isolated dextrocardia, atrial angiography and double oblique projection are needed to improve the accuracy of diagnosis to support surgical treatments.关键词
heart defects, congenital/dextrocardia/angiocardiography/surgeryKey words
heart defects, congenital/dextrocardia/angiocardiography/surgery分类
医药卫生引用本文复制引用
马宁,蒋世良,黄连军,赵世华,徐仲英,凌坚,郑宏..Diagnosis of isolated dextrocardia using angiocardiography or surgery[J].中华医学杂志（英文版）,2004,(11):1655-1658,4.
