持续性左侧SVC的双上腔静脉和异常的左心房排水:一个病例报告
Parisa Pishdad1,2, Parham Heidari3, Amirhossein Soltani1,2
1Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.
Radiology case reports
|January 8, 2026
概括
持续的左上静脉 (PLSVC) 是一种罕见的静脉异常. 这种病例突出了双重SVC,左血管排放到左心室,但由于补偿机制,患者仍然无症状.
科学领域:
- 心血管医学 心血管医学
- 放射学 放射学是一门学科.
- 解剖学的变化 解剖学的变化
背景情况:
- 持续的左上 vena cava (PLSVC) 是一个罕见的胸腔静脉发育异常.
- 它可以作为一个孤立的发现或与重复的上腔静脉 (SVC) 发生.
- 左心房的排水可能会导致右向左的分流,可能会损害氧气的输送.
研究的目的:
- 报告一个双重SVC病例与异常的左心房排水.
- 讨论这种血管异常的临床影响和诊断考虑.
- 强调高级成像在识别罕见解剖变异中的作用.
主要方法:
- 一个48岁的男性患有高血压和吸烟,出现呼吸障碍和的病例报告.
- 使用了诊断成像,包括对比度增强的CT.
- 关于持续的左上静脉和重复的SVC相关文献的审查.
主要成果:
- 图像检测显示了双 SVC,左 SVC 直接连接到左心房.
- 患者,尽管异常,显示没有显著的低氧化或色.
- 长期的补偿机制可能是无症状表现的原因.
结论:
- 在成像解释过程中,应考虑血管异常,例如具有异常排水的PLSVC.
- 增强对比度的CT对于识别罕见的解剖变异至关重要.
- 临床上显著的异常有时可以由于生理补偿而保持无症状.
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