Archundia García A, Gómez Alvarez E, Ixcamparij Rosales C, Blanco Canto M, Hernández Ruiz M A
División de Cardiocirugía, Centro Médico Nacional 20 de Noviembre ISSSTE, Av. Coyoacán y Felix Cuevas Col. del Valle, 03330 México, D.F.
Arch Inst Cardiol Mex. 2000 Sep-Oct;70(5):492-8.
This is the diagnostic experiences as well as the surgical mode of treatment used in a 31 years old women suffering diversion of the inferior vena cava into the left atrium associated with atrial septal defect. The patient had been previously studied and operated thrice under conventional circumstances at different institutions in order to solve the septal defect. The hemodynamic solution had not been reached due to a missing pathological definition. The cineangiogram through the saphenous vein specified the left atrium form the inferior vena cava. Some considerations are made on the surgical methods used for the fourth operation, and in regard of the fact that the patient refused blood transfusion because of religious convictions (Jehova Witness).
这是一位31岁女性患者的诊断经历以及所采用的手术治疗方式，该患者存在下腔静脉转流入左心房并伴有房间隔缺损。该患者此前曾在不同机构接受过三次常规情况下的检查和手术，以解决房间隔缺损问题。由于缺乏病理诊断，未能实现血流动力学解决方案。通过大隐静脉进行的心血管造影明确了下腔静脉与左心房的关系。针对第四次手术所采用的手术方法进行了一些思考，同时考虑到患者因宗教信仰（耶和华见证人）拒绝输血这一事实。
