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一名患有部分房室间隔缺损儿童的下腔静脉中断及奇静脉延续情况

Interruption of the inferior vena cava and azygos continuation in a child with partial atrioventricular septal defect.

作者信息

Erkut B, Ates A, Arslan S, Kaygin M A, Dag O, Alper F

机构信息

Cardiovascular Surgery, Erzurum Training and Research Hospital, Erzurum, Turkey.

出版信息

Thorac Cardiovasc Surg. 2010 Sep;58(6):369-72. doi: 10.1055/s-0029-1240834. Epub 2010 Sep 7.

Abstract

Congenital pathologies of the inferior vena cava are uncommon. Isolated congenital interruption of the inferior vena cava with azygos vein continuation could be considered part of the group of venous return anomalies. The major significance of this anomaly is its association with complex cardiac defects and the associated technical difficulties at the time of cardiac catheterization and abdominal surgery or interventional procedures. In our case, we describe a common atrium and partial atrioventricular septal defect in an 8-year-old girl with infrahepatic interruption of the inferior vena cava and azygos continuation without polysplenia. Magnetic resonance angiography and computed tomography, together with a clinical awareness of this pathology, can be used to diagnose this entity.

摘要

先天性下腔静脉病变并不常见。孤立性先天性下腔静脉中断伴奇静脉延续可被视为静脉回流异常组的一部分。这种异常的主要意义在于其与复杂心脏缺陷相关,以及在心脏导管插入术、腹部手术或介入操作时存在相关技术困难。在我们的病例中,我们描述了一名8岁女孩,她患有肝下型下腔静脉中断伴奇静脉延续且无多脾综合征,同时伴有共同心房和部分房室间隔缺损。磁共振血管造影和计算机断层扫描,以及对这种病理情况的临床认识,可用于诊断该病症。

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