缺失右上静脉和持续的左上静脉:一个偶然的发现
1Department of Cardiac Anaesthesia, Institute of Critical Care and Anesthesiology, Medanta-The Medicity, Gurugram, Haryana, India.
Annals of cardiac anaesthesia
|October 20, 2023
概括
一名患有马方综合征的患者缺少右上静脉和持续的左上静脉. 这种罕见的先天性异常是使用心声学和CT扫描来诊断的.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 遗传异常 是一种先天性异常.
背景情况:
- 马方综合征是一种影响结合组织的遗传性疾病.
- 上腔静脉 (SVC) 的先天异常很少见,但可能会影响心脏手术.
- 班塔尔手术是一种复杂的手术,用于大动脉根和上升大动脉疾病.
研究的目的:
- 报告一个罕见的缺席右侧SVC和持久的左侧SVC病例,该病例发生在接受Bentall手术的Marfan综合征患者身上.
- 要突出诊断方法来识别这种异常.
主要方法:
- 一个患有马方综合征的病人的病例报告.
- 诊断成像包括激动盐水对比心声和胸部计算机断层扫描 (CT).
主要成果:
- 发现该患者缺少右侧SVC和持续的左侧SVC.
- 冠状动脉鼻的扩张是最初的一个指标.
- 心声图和CT证实了持续左侧SVC的诊断.
结论:
- 持续的左上 vena cava 是一个罕见的先天性异常.
- 准确的手术前诊断对于复杂的心脏手术中的手术规划至关重要.
- 多模式成像是有效的诊断静脉异常.
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