孤立的部分异常肺静脉:在单一中心的10年经验
Can Jin1, Yongtao Wu1, Zhiyi Wang1
1Pediatric Cardiothoracic Department, Beijing An Zhen Hospital Affiliated with Capital University of Medical Sciences, Beijing, China.
The Journal of surgical research
|April 4, 2024
概括
诊断孤立的部分异常肺静脉连接 (PAPVC) 可能具有挑战性. 心声学是有效的,并且建议在有症状的患者中进行手术,这些患者有右心室扩大或肺高血压.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 孤立的部分异常肺静脉连接 (PAPVC) 存在诊断方面的挑战.
- 对于PAPVC的手术指示仍然是争论的主题.
- 进行了对10年来孤立的PAPVC病例的审查.
研究的目的:
- 评估心声回声学对孤立的PAPVC的诊断效用.
- 评估PAPVC孤立患者手术干预的结果.
- 确定在PAPVC患者中进行手术的临床指标.
主要方法:
- 从2010年至2019年间对PAPVC孤立病例的回顾性审查.
- 分析患者数据,包括年龄,右心室 (RV) 大小和肺压力.
- 在RV尺寸,肺压和异常静脉数量之间的相关性分析.
- 对TTE的诊断准确性的评估.
主要成果:
- 分析了30名患有孤立PAPVC的患者.
- 在RV终端-透气维度Z-score和年龄 (P=0.03),以及肺压和年龄 (P=0.02) 之间发现了显著的相关性.
- 胸间心声扫描 (TTE) 诊断了90%的孤立PAPVC病例. 29名患者接受了成功的手术修复,没有死亡率或重新干预.
结论:
- 推在PAPVC的常规评估中使用TTE.
- 计算机断层扫描 (CT) 和过食道心声扫描 (TEE) 对复杂病例非常有价值,特别是在成年人中.
- 在无法解释的RV扩大的情况下,应该怀疑PAVC;对于症状患者建议进行手术.
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