在心房正位的情况下进行冠状动脉旁路移植术合并右上腔静脉缺如。
Coronary artery bypass grafting with absent right superior vena cava in visceroatrial situs solitus.
作者信息
Kurisu Kazuhiro, Ochiai Yoshie, Kumeda Hiroshi, Kimura Satoshi, Tanaka Kenichiro, Tominaga Ryuji
机构信息
Department of Cardiovascular Surgery, Kitakyushu Municipal Medical Center, 2-1-1 Bashaku, Kokurakita-ku, Kitakyushu, Fukuoka 802-0077, Japan.
出版信息
Jpn J Thorac Cardiovasc Surg. 2004 Apr;52(4):191-3. doi: 10.1007/s11748-004-0106-z.
We report on a 63-year-old man with an absence of right superior vena cava in visceroatrial situs solitus who underwent coronary artery bypass grafting. Preoperative echocardiography showed a dilated coronary sinus, and venography confirmed an absent right and a persistent left superior vena cava. Perioperatively, placement of a pulmonary artery catheter, site of venous cannulation, and management of associated rhythm abnormalities were of great concern. The assessment of the right superior vena cava is advisable in carrying out the surgical procedure without any difficulties related to this anomaly when the persistent left superior vena cava is suspected.
我们报告了一名63岁男性，其内脏心房位置正常但右头臂静脉缺如，该患者接受了冠状动脉旁路移植术。术前超声心动图显示冠状静脉窦扩张，静脉造影证实右头臂静脉缺如且左头臂静脉持续存在。围手术期，肺动脉导管的放置、静脉插管部位以及相关心律失常的处理是备受关注的问题。当怀疑存在持续左头臂静脉时，建议在进行手术过程中评估右头臂静脉，以避免因该异常导致任何困难。
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