脊椎静脉无名静脉与肺动脉动脉/主要动脉脉肺附带病有关
Richard D Mainwaring1, Manan Desai1, Rajesh Punn1,2
1Division of Pediatric Cardiac Surgery, Lucile Packard Children's Hospital Stanford, Stanford University School of Medicine, Stanford, California.
Annals of thoracic surgery short reports
|January 10, 2025
概括
逆门无名静脉 (RAIV) 是一种罕见的全身静脉异常,经常在患有肺动脉缩,心室隔膜缺陷和主要肺动脉附带动脉 (PA/VSD/MAPCA) 的患者中观察到. 这项研究评估了该患者组的RAIV流行率和特征.
科学领域:
- 心血管解剖学的心血管解剖学
- 遗传性心脏病是一种先天性心脏病.
- 系统静脉异常 系统静脉异常
背景情况:
- 逆门无名静脉 (RAIV) 是一种极为罕见的全身静脉回归异常,在一般人群中发病率很低.
- 雷夫已与干异常和右大动脉关联.
- 在专门的中心,在患有心室隔膜缺陷和主要心肺侧动脉 (PA/VSD/MAPCAs) 的肺动脉缩患者中观察到RAIV的高频率.
研究的目的:
- 为了评估尾静脉无名静脉 (RAIV) 的患病率和解剖特征.
- 调查RAIV与特定先天性心脏病,特别是PA/VSD/MAPCA之间的关联.
主要方法:
- 2002年至2022年医疗记录的单中心回顾性审查.
- 在大约20,000名评估患者中确定RAIV患者.
- 分析RAIV患者的相关诊断和特定解剖特征.
主要成果:
- 确定了99名RAIV患者.
- 大多数RAIV患者 (65%) 患有PA/VSD/MAPCA.
- 其他常见的诊断包括法洛特四重症 (16%),双出口右心室 (4%).
- 在PA/VSD/MAPCAs队列中,69%的人有右主动脉,30%的人没有中央肺动脉.
结论:
- 回静脉无名静脉 (RAIV) 在有干异常的患者中非常普遍,特别是PA/VSD/MAPCAs.
- 在这种特定的先天性心脏病患者群体中,RAIV 是一个重要的发现.
- 了解RAIV特征对于复杂先天性心脏病的手术规划至关重要.
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