偶然发现左侧上腔静脉:一个病例报告和全面的文献综述
Ricardo E Núñez-Rocha1, Daniel E Gómez-Carrillo1, Mario Enrique Mahecha-Carvajal1
1School of Medicine, Universidad de los Andes, Bogotá, Colombia.
持续的左上 vena cava (PLSVC) 是一种罕见的血管异常. 了解其排水对于预防心脏手术期间的并发症至关重要,特别是当它发生时.
科学领域:
- 心血管医学 心血管医学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 持续的左上静脉 (PLSVC) 是一种罕见的先天性血管异常,影响全身静脉回流.
- 虽然PLSVC往往无症状,但可能会使心脏手术和设备安置复杂化.
- 相关心血管异常发生在大约40%的PLSVC病例中,最常见的是隔膜缺陷.
研究的目的:
- 突出了解持续的左上 vena cava (PLSVC) 排水的临床意义.
- 强调识别这种异常对于安全的内血管程序的重要性.
- 强调需要精细的成像和多学科的方法.
主要方法:
- 一个59岁的女性患有腹癌的病例介绍.
- 进行了化疗导管安置.
- 胸部X射线显示了导管的错位,导致PLSVC的偶然诊断.
主要成果:
- 由于PLSVC的存在,患者的导管放置变得复杂.
- 对先前研究的审查证实了PLSVC.的偶然发现.
- 这一案例强调了医疗干预期间可能出现意想不到的解剖变异.
结论:
- 持续的左上 vena cava (PLSVC) 经常是无症状的,并偶然发现.
- 全面的理解和细致的成像对于预防并发症至关重要.
- 多学科团队的参与对于进行心脏手术的PLSVC患者的管理至关重要.
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