部分异常的肺静脉连接排放到 Azygos 系统
José Martín Alanís-Naranjo1, Regina de la Mora Cervantes1
1Cardiovascular Imaging Department, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
JACC. Case reports
|September 19, 2025
概括
部分异常肺静脉连接 (PAPVC) 可能是一种罕见的先天性心脏缺陷,在成年时被诊断出来. 通过心脏成像进行早期诊断对于及时干预和预防并发症至关重要.
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.
- 医疗成像医学成像
背景情况:
- 部分异常肺静脉连接 (PAPVC) 是一种罕见的先天性心脏缺陷.
- 它通常在成年后才被诊断出来,并表现为呼吸障碍等症状.
- 对于患有无法解释的右心扩张或肺高血压的患者来说,考虑这一点很重要.
研究的目的:
- 突出成人患者PAPVC的诊断考虑因素.
- 强调多式心脏成像在识别PAPVC和相关异常方面的作用.
- 强调早期诊断对手术转诊和并发症预防的重要性.
主要方法:
- 一个45岁妇女的病例介绍,她的心房隔膜缺陷已经修复,出现了新的症状.
- 使用心脏计算机断层扫描 (CT) 进行诊断.
- 审查了临床表现,诊断发现和管理影响.
主要成果:
- 心脏CT显示了右侧的PAPVC流入阿齐戈斯系统.
- 该患者因持续的症状而被转诊进行手术.
- 鉴定出PAPVC是渐进性呼吸障碍和运动耐受性降低的可能原因.
结论:
- 在没有解释的右心脏异常,三腹吐或肺高血压的成年人中应考虑PAPVC.
- 多式心脏成像对于准确的诊断和手术规划至关重要.
- 及时识别和管理PAPVC对于预防并发症至关重要.
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