CT心脏断面解剖

先天性心脏病及 CT 影像诊断 1 Ascending Aorta 升主动脉 Descending Aorta 降主动脉 Pulmonary Artery 肺动脉 Superior Vena Cava 上腔静脉 Left Coronary Artery(LCA) 左冠状动脉 Left Main Artery(LMA) 左主干 Left Anterior Descending(LAD)左前降支 Left Marginal Branch(LMB) 左边缘支 Left Circumflex(LCX) 左回旋支 Right Coronary Artery(RCA) 右冠状动脉 Posterior Descending Artery(PDA) 后降支 Conus Branch 动脉圆锥支 Left Atrium 左心房 Right Atrium 右心房 Left Ventricle 左心室 Right Ventricle 右心室 Cardiac Vein 心脏静脉 Mitral Valv 二尖瓣 Coronary Sinus 冠状窦 Cardiac Anatomy 2 传统的影像学诊断方法有胸部 X线、超声心动图、 MRI 、心导管造影检查 Cardiac Anatomy 3 Cardiac Anatomy MDCT的优势的优势 4 Ascending Aorta Pulmonary Artery Descending Aorta Ascending Aorta Pulmonary Artery Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 5 Ascending Aorta Pulmonary Artery Descending Aorta Superior Vena Cava Ascending Aorta Pulmonary Artery Descending Aorta Superior Vena Cava CT平扫图象 CT增强图象 Cardiac Anatomy 6 Superior Vena Cava Superior Vena Cava LMA LMA Ascending Aorta Ascending Aorta Descending AortaDescending Aorta LAD Left Marginal Branch LAD Left Marginal Branch CT平扫图象 CT增强图象 Cardiac Anatomy 7 Superior Vena Cava Ascending Aorta Descending Aorta LAD Left Marginal Branch LMA LCX Superior Vena Cava Ascending Aorta Descending Aorta LAD Left Marginal Branch LMA LCX Pulmonary Artery Pulmonary Artery CT平扫图象 CT增强图象 Cardiac Anatomy 8 Superior Vena Cava Superior Vena Cava Descending AortaDescending Aorta Pulmonary Artery Pulmonary Artery LAD LCx LCx LMB LMB LAD Left AtriumLeft Atrium CT平扫图象 CT增强图象 Cardiac Anatomy 9 Superior Vena Cava Superior Vena Cava Descending AortaDescending Aorta Pulmonary Artery Pulmonary Artery LAD LCx LCx LMB LMB LAD Left AtriumLeft Atrium CT平扫图象 CT增强图象 Cardiac Anatomy 10 Descending Aorta LCx LMB LAD Left Atrium Descending Aorta LCx LMB LAD Left Atrium Right Atrium Left Ventricle Left Ventricle Ascending Aorta Ascending Aorta Right Atrium CT平扫图象 CT增强图象 Cardiac Anatomy 11 RCA RCA Left Ventricle Left Ventricle Right Ventricle Right Ventricle Left Atrium Left Atrium Right Atrium Right Atrium LCx LMB LCx LMB CT平扫图象 CT增强图象 Cardiac Anatomy 12 RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LCx LMB RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LCx LMB Descending Aorta Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 13 RCA RCA Left Ventricle Left Ventricle Right Ventricle Right Ventricle Left AtriumLeft Atrium Right AtriumRight Atrium LCx LMB LCx Cardiac Vein LMB Cardiac Vein CT平扫图象 CT增强图象 Cardiac Anatomy 14 RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LCx LMB RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LCx LMB Aortic Valve Descending Aorta Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 15 RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LCx LMB RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LCx LMB Aortic Valve Cardiac Vein Cardiac Vein CT平扫图象 CT增强图象 Cardiac Anatomy 16 RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LCx LMB RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LMB Descending Aorta Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 17 Conus Branch Conus Branch Mitral Valve RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LMB RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LMB Cardiac Vein Cardiac Vein CT平扫图象 CT增强图象 Cardiac Anatomy 18 RCA Left Ventricle Right Ventricle Left Atrium Right Atrium LMB RCA Right Ventricle Left Atrium Right Atrium Left Ventricle Mitral Valve Descending Aorta Descending Aorta Cardiac Vein Cardiac Vein CT平扫图象 CT增强图象 Cardiac Anatomy 19 RCA Left Ventricle Right Ventricle Left Atrium Right Atrium RCA Left Ventricle Right Ventricle Left Atrium Right Atrium Descending Aorta Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 20 Descending Aorta Descending Aorta RCA Left Ventricle Right Ventricle Right Atrium RCA Left Ventricle Right Ventricle Right Atrium Coronary Sinus Coronary Sinus CT平扫图象 CT增强图象 Cardiac Anatomy 21 RCA Left Ventricle Right Ventricle Right Atrium RCA Left Ventricle Right Ventricle Right Atrium Descending Aorta Descending Aorta Coronary Sinus Coronary Sinus CT平扫图象 CT增强图象 Cardiac Anatomy 22 RCA Left Ventricle Right Ventricle Right Atrium RCA Left Ventricle Right Ventricle Right Atrium Descending Aorta Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 23 RCA Left Ventricle Right Ventricle RCA Left Ventricle Right Ventricle Descending Aorta Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 24 RCA Left Ventricle Right VentricleRCA Left Ventricle Right Ventricle Descending Aorta Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 25 RCA Left Ventricle Right Ventricle RCA Left Ventricle Right Ventricle Descending Aorta Descending Aorta Liver Stomach Liver Stomach CT平扫图象 CT增强图象 Cardiac Anatomy 26 RCA Left Ventricle Right VentricleRCA Left Ventricle Right Ventricle Descending Aorta Descending Aorta CT平扫图象 CT增强图象 Cardiac Anatomy 27 RCA Left Ventricle Right Ventricle RCA Left Ventricle Right Ventricle Descending Aorta Descending Aorta Liver Stomach Liver Stomach CT平扫图象 CT增强图象 Cardiac Anatomy 28 PDA Left Ventricle Right Ventricle PDA Right Ventricle Liver Stomach Liver Stomach CT平扫图象 CT增强图象 Cardiac Anatomy 29 房间隔缺损房间隔缺损 Atrial Septal Defect, ASD Cardiac Anatomy 30 CT表现表现 房间隔连续性中断。需两个层面以上可 显示房；可直接测量缺损大小 右心房、室增大 肺动脉增宽 伴肺动脉高压，主肺动脉横径超过同水 平主动脉，右心室壁增厚，右室扩大 Cardiac Anatomy 31 继发孔型房间隔缺损 CT增强：房间隔连续中断 Cardiac Anatomy 32 室间隔缺损室间隔缺损 Ventrical Septal Defect， VSD Cardiac Anatomy 33 CT表现表现 n EBCT薄层扫描，显示室间隔中断、不连续 n 心室不同程度增大，肺血管增多、增粗 n 血流序列扫描，观察分流，定量计算 Cardiac Anatomy 34 室间隔缺损（圆锥部）室间隔缺损（圆锥部） 35 室间隔缺损（肌部）室间隔缺损（肌部） 室间隔缺损 （膜周部） Cardiac Anatomy 36 动脉导管未闭动脉导管未闭 Patent