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Báo cáo y học: "Multislice computed tomography is useful for evaluating partial anomalous pulmonary venous connectio"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Multislice computed tomography is useful for evaluating partial anomalous pulmonary venous connection. | Kasahara et al. Journal of Cardiothoracic Surgery 2010 5 40 http www.cardiothoracicsurgery.Org content 5 1 40 JOURNAL OF CARDIOTHORACIC SURGERY COMMENTARY Open Access Multislice computed tomography is useful for evaluating partial anomalous pulmonary venous connection Hirofumi Kasahara 1 Ryo Aeba 1 Yutaka Tanami2 and Ryohei Yozu1 Abstract Volume-rendered images derived from multidetector-row computed tomography MDCT can facilitate assessment of the morphology of partial anomalous pulmonary venous connection and are thus useful in pre-operative planning to prevent surgical morbidity and assist post-operative evaluations. Introduction Partial anomalous pulmonary venous connection PAPVC is usually diagnosed by echocardiography and catheter-based angiographies are often performed for confirmation. However echocardiography occasionally provides insufficient information due to its small field of view insufficient resolution to identify individual pulmonary veins and the difficulty of confirming its penetration into the connection site of the systemic venous system especially around the hilar 1 2 . Conventional angiography remains the standard diagnostic tool despite its inherent risks and occasional insufficient resolution for detecting faint images of the pulmonary vein in the late phase 2 3 . Post-operative evaluations of reconstructed vessels are often problematic in certain diseases. High-slice multidetector-row computed tomography MDCT angiography can provide more precise morphologic delineation due to its non-invasive nature and high spatial and temporal resolution. We herein report our current experience of applying MDCT angiography for pre- and post-operative evaluations in patients with PAPVC. Case Reports A 10-year-old girl was diagnosed with a sinus venous septal defect with PAPVC of the right upper lobe vein to the superior vena cava SVC . Echocardiography and catheter angiography demonstrated a large defect with a signif Correspondence aeba@sc.itc.keio.ac.jp