Troost Els, Gewillig Marc, Budts Werner
Department of Cardiology, UZ Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.
Int J Cardiol. 2006 Jan 26;106(3):365-6. doi: 10.1016/j.ijcard.2005.02.015.
Cerebral emboli and abscesses are common complications in patients with cyanotic congenital heart disease and right-to-left shunt. Of those, a persistent left superior vena cava (LSVC) draining into the left atrium, directly or through an unroofed coronary sinus, is a rather rare finding. In order to prevent recurrent cerebral emboli and abscesses, correction of this anomaly may be recommended. We report the first case of a patient who underwent a percutaneous closure of a persistent LSVC draining into the left atrium with an Amplatzer ASD occluder.
脑栓塞和脑脓肿是患有青紫型先天性心脏病且有右向左分流患者的常见并发症。其中,持续左上腔静脉(LSVC)直接或通过未闭的冠状静脉窦引流至左心房是一种较为罕见的情况。为预防复发性脑栓塞和脑脓肿,可能建议纠正这种异常情况。我们报告了首例使用Amplatzer房间隔缺损封堵器经皮闭合持续引流至左心房的左上腔静脉的患者。