距离冠状动脉鼻腔-左心房沟通在心房移除过程中被发现
Yoshihiro Sobue1, Tomoyuki Ohno2, Eiichi Watanabe1
1Department of Cardiology, Fujita Health University Bantane Hospital, 3-6-10 Otobashi, Nakagawa-ku, Nagoya, Aichi 454-8509, Japan.
European heart journal. Case reports
|February 11, 2026
概括
在心房动 (AF) 废除过程中,发现了遥远冠状动脉鼻腔 (CS) 与左心房 (LA) 之间的罕见联系. 这一不寻常的发现涉及左心房附属体和左下肺静脉,强调了在手术过程中识别罕见心脏异常的重要性.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 解剖病理学 解剖病理学
背景情况:
- 冠状动脉鼻 (CS) 的先天性异常很少见,在标准成像中经常错过.
- 无顶冠状动脉鼻 (URCS) 是最常见的异常,通常与持续的左上静脉有关.
- 遥远的CS和左心室 (LA) 之间的沟通是非常罕见的.
研究的目的:
- 报告一个罕见的远端CS-LA沟通病例.
- 强调在心房动 (AF) 废除手术过程中识别此类异常的重要性.
主要方法:
- 一名76岁的女性患有复发性阴道发作性AF,接受了导管切除.
- 进行了过程内电解剖绘图和CS导管静脉检查.
- 术前CT成像的回顾性审查.
主要成果:
- 在远端CS,左心房附属体 (LAA) 和左下肺静脉 (LIPV) 之间确定了一个异常的状管道.
- 肺静脉隔离成功完成,没有并发症.
- 程序前的CTCT证实了CS-LA连接.
结论:
- 这种病例呈现出罕见的远端CS-LA状沟通,扩大了已知的CS异常的范围.
- 识别这些异常对于AF切除过程中的程序安全至关重要.
- 多模式成像和手术内静脉造影对于识别这些罕见疾病非常有价值.
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