左侧部分异常肺静脉回归在接受胸腔手术的患者中枢静脉导管治疗期间被发现
Michail Thomaidis1, Sofoklis Mitsos1, Vasileios Leivaditis2
1Department of Thoracic Surgery, Attikon General Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Cureus
|September 8, 2025
概括
一名患有结直肠癌的77岁男性偶然发现左侧部分异常肺静脉回归 (PAPVR). 这种血管异常不需要任何干预,但强调了在胸部手术患者中认识到此类发现的重要性.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 左侧部分异常肺静脉回归 (PAPVR) 可能是无症状且未被诊断的.
- 它在外科手术期间的管理中带来了挑战,特别是在并发症方面.
研究的目的:
- 在接受胸部手术的患者中报告偶然诊断的左侧PAPVR病例.
- 强调在手术患者中识别血管异常的临床含义.
主要方法:
- 一个77岁的男性患有转移性结直肠腺癌的病例报告.
- 手术后的中央静脉线位置显示出意外的高氧和.
- 计算机断层扫描血管图证实左侧PAPVR与排水进入左静脉.
主要成果:
- 一个以前未被诊断的左侧PAPVR被偶然发现.
- 由于异常的无症状性质和位置,异常不需要进行手术纠正.
- 患者在短暂的心房动事件的保守管理下康复良好.
结论:
- 在胸部外科手术患者中,对PAPVR等血管异常的临床意识至关重要.
- 偶然发现可以影响中央静脉通道,麻醉和术后护理.
- 彻底的成像检查和跨学科的沟通对于最佳的患者结果至关重要.
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