罕见的异常左臂脑静脉排水影响心脏起器的位置
George Sultana1, Sara Xuereb2, Mark Adrian Sammut2
1Department of Medicine, Mater Dei Hospital, Msida, Malta.
JACC. Case reports
|May 9, 2025
概括
胸腔静脉系统的一种罕见的先天性异常,辅助性血栓静脉,复杂的心脏起器植入在一个88岁的男人身上. 识别这种静脉异常对于成功的微创胸部手术至关重要.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 血管解剖学 血管解剖学
背景情况:
- 严重的大动脉狭窄和心房动需要双腔心脏起器植入.
- 胸腔静脉的解剖学变异可能会使血管干预复杂化.
- 先天性静脉异常通常在临床上是无声的,但可能会带来挑战.
研究的目的:
- 报告一个在心脏起器植入过程中遇到的辅助血栓静脉的罕见病例.
- 强调在胸部手术中识别异常静脉系统的重要性.
- 为了突出由于静脉异常而导致的微创胸部手术的潜在挑战.
主要方法:
- 一个88岁的男性患者的病例报告,他接受了选择性心脏起器植入.
- 在指导线操纵过程中发现异常的静脉系统.
- 关于类似的胸静脉异常的文献综述.
主要成果:
- 鉴定出一个附带的血栓静脉排放到血栓静脉中,阻碍了导线的推进.
- 患者的异常是一种罕见的上肢静脉回归变体.
- 这种特殊的异常在医学文献中以前只记录了两次.
结论:
- 胸腔静脉的先天异常,虽然很少见,但在血管干预期间需要仔细考虑.
- 识别这些解剖变异对于心脏起器和中央线插入等手术的安全性和成功至关重要.
- 这一案例强调了在胸外科手术中识别和管理意想不到的静脉异常时需要保持警.
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