在中央静脉端口放置过程中偶然检测到持久的左上静脉卡瓦
Shigenori Masaki1, Takashi Kawamoto2
1Surgery and Gastroenterology, Miyanomori Memorial Hospital, Sapporo, JPN.
Cureus
|November 30, 2023
概括
持续的左上静脉 (PLSVC) 是一种罕见的静脉异常. 在与右侧SVC共存的情况下,狭窄的PLSVC直径需要避免导管以防止血栓栓塞.
科学领域:
- 心血管医学 心血管医学
- 放射学 放射学是一门学科.
- 血管外科 血管外科
背景情况:
- 持续的左上静脉 (PLSVC) 是一种罕见的先天性胸静脉异常.
- 它经常在中央静脉导管插入过程中偶然发现.
- 了解其变异对于安全部署设备至关重要.
研究的目的:
- 报告一个同时存在的PLSVC和右上 vena cava (RSVC) 的病例.
- 突出考虑中央静脉导管放置在这样的解剖学变化.
- 强调评估PLSVC直径以减轻风险的重要性.
主要方法:
- 一个85岁的女性接受中央静脉移植的案例介绍.
- 在手术期间通过光镜和导线进行PLSVC的鉴定.
- 通过CT和静脉扫描确认PLSVC解剖学和通往冠状动脉鼻的排水.
主要成果:
- 这位患者出现了共存的PLSVC和RSVC,缺乏桥梁静脉.
- 与RSVC相比,PLSVC的直径较窄.
- 在RSVC中成功放置了导管,避免了狭窄的PLSVC.
结论:
- 同时存在的PLSVC和RSVC需要在中央静脉导管注射之前进行仔细的解剖评估.
- 狭窄的PLSVC直径带来了静脉血栓栓塞的风险,倡导避免导管.
- 当PLSVC显著狭窄时,优先放置在RSVC是一个更安全的策略.
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