一个罕见的孤立的,持续的左上 vena cava 病例,通过心声回声诊断诊断
Dorota Smolarek1, Hanna Jankowska2, Karolina Dorniak2
1Department of Cardiac Diagnostics, Medical University of Gdansk, Smoluchowskiego 17, Gdansk, 80-214, Poland. dorota.smolarek84@gmail.com.
Journal of cardiothoracic surgery
|April 4, 2024
概括
孤立的持续的左上 vena cava (PLSVC) 是一种罕见的血管异常. 这一案例突出了通过心声回声仪的偶然诊断,强调了由于潜在的临床影响而需要提高认识的必要性.
科学领域:
- 心脏病学 心脏病学
- 血管解剖学 血管解剖学
背景情况:
- 持续的左上静脉 (PLSVC) 是一种不常见的血管变异.
- 孤立的PLSVC,缺少右上腔静脉,代表了一个非常罕见的情况.
研究的目的:
- 报告一种极其罕见的孤立的持续性左上 vena cava 的病例.
- 要强调心声回声和盐水对比在识别这种异常的诊断实用性.
- 为了强调诊断单独的PLSVC的临床意义.
主要方法:
- 一名35岁的男子的胸前心声扫描显示了冠状动脉鼻扩张.
- 周围静脉静脉注射盐水对比注射显示异常的静脉回归.
- 心脏磁共振成像证实了孤立PLSVC的诊断.
主要成果:
- 心声检查发现冠状动脉鼻极度扩张.
- 盐水对照注射显示,在右心房之前,冠状动脉鼻的初始不透明.
- 心脏MRI证实了右上腔静脉的缺失和孤立的PLSVC的存在.
结论:
- 偶然发现的冠状动脉鼻扩张的心声检查结果可以表明孤立的PLSVC.
- 由于中央静脉通道的潜在并发症,迅速诊断至关重要.
- 对这种异常的认识对于接受心脏器械治疗的患者的管理至关重要.
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