对于典型的心房的射频废除在与PLSVC和IVC中断的右转中与PLSVC和IVC中断的典型心房
Hongmei Zheng1, Chongzhe Pei1, Dong Li2
1Department of Cardiology, Tianjin Medical University General Hospital, Tianjin, China.
JACC. Case reports
|January 24, 2026
概括
本病例报告详细介绍了患有罕见先天性心脏异常的患者的成功心房移除:右转,持续的左上静脉 (PLSVC) 和下静脉 (IVC) 中断. 解剖学识别和专业技术是关键.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗成像医学成像
背景情况:
- 下腔静脉 (IVC) 的先天性异常和持续的左上腔静脉 (PLSVC) 是罕见的.
- 德克斯特转,心脏的错位,进一步使心脏程序复杂化.
- 综合的解剖学变异对导管切除程序构成重大挑战.
研究的目的:
- 报告第一个成功的导管切除心房的病例,患者同时患有右转,PLSVC和IVC中断.
- 强调在复杂的心脏病例中程序前解剖识别和适应性策略的重要性.
主要方法:
- 一名65岁的男性患者患有典型的心房动和右转,接受了电生理学研究.
- 心声检测发现了PLSVC,计算机断层扫描血管学证实了IVC中断.
- 导管切除是使用左上静脉方法进行的,使用3D映射,准洞腔皮脉.
主要成果:
- 成功地实现了心房的导管切除.
- 左上静脉通道提供了一个有效的替代通道.
- 3D电解剖绘图在复杂的解剖学中促进了精确的准.
结论:
- 这一案例证明了心房移除在患有复杂先天性静脉异常和右转的患者中的可行性.
- 术前成像对于识别解剖变异至关重要.
- 替代静脉接入和先进的绘图技术对于在具有挑战性的解剖学中取得成功的结果至关重要.
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