The diagnostic value of multi-slice CT on the congenital malformation of coronary sinus
10.3760/cma.j.issn.1005-1201.2012.02.003
- VernacularTitle:先天性冠状静脉窦异常的螺旋CT诊断价值
- Author:
Wei LI
;
Xiaojing MA
;
Qingjun SUN
;
Xianfeng CHEN
;
Yuan TAO
;
Zhiyuan PENG
;
Qingfeng XIONG
;
Zhilin ZHONG
;
Xin CHEN
;
Yan CHEN
;
Xuelian ZHANG
;
Li WANG
- Publication Type:Journal Article
- Keywords:
Coronary vessel anomalies;
Tomography,X-ray computer;
Echocardiography
- From:
Chinese Journal of Radiology
2012;46(2):110-112
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application value of multi-slice spiral CT on the congenital malformation of coronary sinus. Methods MSCT finding of 98 patients with coronary sinus malformation confirmed by surgery were retrospectively analyzed,and the cases were divided into four categories based on the Mantini theory and comparison was made between the diagnosis from ultrasound and CT.A 2 × 2 table for Chi-square test was also used for statistics analysis.Results Among 98 patients,there were 72 patients with persistent left superior vena cava reflowed to right atria through coronary sinus,with 48 patients diagnosed by ultrasound and 72 patients by MSCT; there were 13 patients with anomalous pulmonary venous connection to coronary sinus,with 12 patients diagnosed by ultrasound and 13 patients by MSCT diagnosis; there were 10 patients with unroofed coronary sinus syndrome,with 6 patients diagnosed by ultrasound and 8 patients by MSCT,there were 2 patients with coronary sinus atresia,all diagnosed by MSCT; there were 1 patient with coronary sinus anomaly reflow to left arita.The significant difference between 2 modalities (x2 =22.7,P＜0.01) shows that CT is superior to ultrasound.Conclusion MSCT is much more better than ultrasound in the diagnosis of malformation of coronary sinus and it can provide reliable diagnosis prior to surgery or interventional therapy.
