定义和解剖学描述的左心房附属体部部
Jakub Batko1,2,3,4, Rafał Jakiel1, Agata Krawczyk-Ożóg1,5
1HEART-Heart Embryology and Anatomy Research Team, Department of Anatomy, Jagiellonian University Medical College, Cracow, Poland.
概括
左心房附属体 (LAA) 部,心脏血栓的来源,是解剖学上定义的. 本研究详细介绍了其形态特征,帮助LAA排除程序.
科学领域:
- 心血管解剖学 心血管解剖学
- 医疗成像医学成像
- 心脏外科手术 心脏外科手术
背景情况:
- 左心房附属体 (LAA) 是心脏血栓形成的主要来源.
- 对于LAA部的解剖学定义和形态学特征的了解仍然很少.
- 准确的LAA部表征对于有效的LAA排除程序至关重要.
研究的目的:
- 为了精确地定义LAA部的解剖学界限.
- 为了确定LAA部的详细形态特征.
- 根据性别和LAA类型,调查LAA部形态的潜在差异.
主要方法:
- 三维 (3D) 重建是从200名患者的对比度增强心电图门式计算机断层扫描 (CE-ECG-CT) 扫描中生成的.
- LAA部被定义为一个截断的形,将LAA孔与叶片起源连接起来.
- 测量和分析了包括中央轴长度和墙面积在内的形态参数.
主要成果:
- 在98.0%的病例中确定了LAA部,其特征是截断的形.
- 中央轴的平均长度为14.7±2.3毫米,墙面的平均面积为856.6±316.7毫米2.
- 在中央轴长度和壁面积方面观察到基于性别的显著差异,但在LAA类型之间没有.
结论:
- 该研究使用3DCT重建提供了LAA部的全面定义和形态分析.
- 详细的LAA部形态,包括其划分为不同的表面,是阐明.
- 这些发现可以提高LAA排除干预的精度和安全性.
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