在导管切除过程中发现了中断的下静脉洞和重复的上静脉洞
Bryce W Rigden1, Paul Charpentier1, Christian Cox2
1Creighton University School of Medicine, Omaha, Nebraska, USA.
JACC. Case reports
|March 5, 2026
概括
罕见的先天性静脉异常,包括中断的下静脉 (IVC) 和重复的上静脉 (SVC),可能导致严重的并发症. 意识和先进的成像对于诊断和管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 下腔静脉中断 (IVC) 和上腔静脉重复 (SVC) 是不常见的先天性静脉异常.
- 这些异常可以呈现出各种临床症状,并带来诊断挑战.
研究的目的:
- 突出识别先天性静脉异常的临床意义.
- 强调与中断的IVC和重复的SVC相关的潜在并发症.
主要方法:
- 一个案例报告,一名52岁的妇女出现了近乎昏迷的症状,心和耳声.
- 诊断工作包括光学和计算机断层扫描血管学 (CTA).
- CTA揭示了一种中断的肝内IVC与阿齐戈斯的延续和重复的SVC与左持续的SVC流入冠状动脉鼻.
主要成果:
- 患者复杂的静脉解剖学阻止了导管切除的透静脉接入.
- 确定的异常包括中断的肝内IVC与阿齐戈斯的延续和重复的SVCs.
- 一个左侧持久性SVC流入扩大的冠状动脉鼻.
结论:
- 识别先天性静脉异常,如中断的IVC和重复的SVC,至关重要.
- 这些异常会使患者易患心律失常,血栓塞栓事件和手术并发症.
- 对于患有无法解释的症状或可能与这些静脉变异相关的耐火性疾病的患者,建议进行高级成像.
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