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孤立性心脏位置正常的患者出现意外的永存左上腔静脉且右上腔静脉缺如。

Unexpected persistent left superior vena cava and absent right superior vena cava in situs solitus patient.

作者信息

Gologorsky Edward, Macedo Francisco Igor B, Carvalho Enisa M, Govindaswamy Radhika, Salerno Tomas A

机构信息

Division of Cardiothoracic Surgery, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida 33139, USA.

出版信息

J Card Surg. 2010 Jan-Feb;25(1):42-5. doi: 10.1111/j.1540-8191.2009.00944.x. Epub 2009 Oct 26.

DOI:10.1111/j.1540-8191.2009.00944.x
PMID:19874417
Abstract

We, herein, report a patient with persistent left superior vena cava with enlarged coronary sinus and absent right superior vena cava. This anomaly, diagnosed intraoperatively during the third open-heart surgery in the course of transesophageal echocardiography examination, was not mentioned during the patient's previous two cardiac operations. Challenges in intraoperative management and implications for subsequent treatments are discussed.

摘要

在此，我们报告一例患有持续左上腔静脉、冠状窦扩大且右上腔静脉缺如的患者。这种异常情况在经食管超声心动图检查过程中，于第三次心脏直视手术时被术中诊断出来，而在该患者之前的两次心脏手术中均未提及。本文讨论了术中管理的挑战以及对后续治疗的影响。

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引用本文的文献

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Gradual diagnosis and clinical importance of prenatally detected persistent left superior vena cava with absent right superior vena cava - a case report and literature review.产前诊断永存左上腔静脉伴右上腔静脉缺如的逐步诊断及临床意义——病例报告与文献综述
J Ultrason. 2020;20(81):e146-e150. doi: 10.15557/JoU.2020.0023. Epub 2020 Jun 15.
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Multifactorial Genesis of a Seeming Case of Pulmonary Hypertension.一例疑似肺动脉高压病例的多因素成因
J Cardiovasc Echogr. 2017 Oct-Dec;27(4):149-152. doi: 10.4103/jcecho.jcecho_34_17.
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Persistent Left Superior Vena Cava and Absent Right Superior Vena Cava: Not Only an Anatomic Variant.
永存左上腔静脉并缺如右上腔静脉：不仅是一种解剖变异。
J Cardiovasc Echogr. 2013 Jan-Mar;23(1):42-44. doi: 10.4103/2211-4122.117985.