Nurkalem Zekeriya, Gorgulu Sevket, Eren Mehmet, Bilal Mehmet Salih
Int J Cardiol. 2006 Oct 26;113(1):124-6. doi: 10.1016/j.ijcard.2005.08.062. Epub 2005 Nov 10.
Most patients with total abnormal venous connection (TAPVC) have no symptoms at birth, yet the majority die within the first year of life if surgical repair is not implemented. TAPVC is usually suspected in the neonatal period, and without surgical repair prolonged survival is quite exceptional. This kind of abnormality can be a real challenge for a non-pediatrics cardiologist today and can be easily misdiagnosed as a large secundum atrial septal defect if there is no sufficient suspicion of TAPVC. Therefore, a case of a 40-year-old female patient referred to our clinic with increasing shortness of breath is of great interest, as this patient was diagnosed with TAPVC.
大多数完全性肺静脉异位连接（TAPVC）患者出生时无症状，但如果不进行手术修复，大多数患者会在出生后第一年内死亡。TAPVC通常在新生儿期被怀疑，若不进行手术修复，长期存活极为罕见。如今，这种异常情况对于非儿科心脏病专家来说可能是一个真正的挑战，如果对TAPVC没有足够的怀疑，很容易被误诊为大型继发孔房间隔缺损。因此，一名40岁女性患者因气短加重前来我院就诊，该患者被诊断为TAPVC，这一病例非常值得关注。
