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永存左上腔静脉引流至三尖瓣闭锁的无顶冠状窦：一种罕见的异常情况。

Persistent left superior vena cava draining into an unroofed coronary sinus in tricuspid atresia: an uncommon anomaly.

作者信息

Gupta Mohit D, Girish M P, Ramakrishnan S

机构信息

Department of Cardiology, GB Pant Hospital, New Delhi, 110002, India.

出版信息

Pediatr Cardiol. 2011 Apr;32(4):530-1. doi: 10.1007/s00246-011-9922-y. Epub 2011 Mar 1.

DOI:10.1007/s00246-011-9922-y
PMID:21360004
Abstract

This report describes the preoperative diagnosis of a 6-month-old child with tricuspid atresia related to an unroofed coronary sinus. The anomaly usually is diagnosed after the Fontan operation due to persistent arterial desaturation. Preoperative recognition of this association is important. All cases of tricuspid atresia should be screened for associated persistent left superior vena cava draining into an unroofed coronary sinus.

摘要

本报告描述了一名6个月大患有与冠状静脉窦未闭相关的三尖瓣闭锁患儿的术前诊断。这种异常通常在Fontan手术后因持续性动脉血氧饱和度降低而被诊断出来。术前识别这种关联很重要。所有三尖瓣闭锁病例都应筛查是否存在经未闭冠状静脉窦引流的持续性左上腔静脉。

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本文引用的文献

1
Persistent left superior vena cava: incidence, significance and clinical correlates.永存左上腔静脉：发生率、意义及临床关联
Int J Cardiol. 2002 Jan;82(1):91-3. doi: 10.1016/s0167-5273(01)00586-1.
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Persistent left superior vena cava: chest x-ray and echocardiographic findings.永存左上腔静脉：胸部X线及超声心动图表现
Echocardiography. 2000 Jul;17(5):453-5. doi: 10.1111/j.1540-8175.2000.tb01164.x.
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Persistent left superior vena cava: case report and literature review.永存左上腔静脉：病例报告及文献综述
Respir Care. 2000 Apr;45(4):411-6.
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Unexpected oxygen desaturation after cardiopulmonary bypass: rapid confirmation of unroofing of the coronary sinus by intraoperative epicardial echocardiography.
Pediatr Cardiol. 1995 Jul-Aug;16(4):197-200. doi: 10.1007/BF00794195.
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Partially unroofed coronary sinus associated with tricuspid atresia. An important associated lesion in the Fontan operation.部分未闭冠状静脉窦合并三尖瓣闭锁。这是Fontan手术中一种重要的相关病变。
Eur J Cardiothorac Surg. 1987;1(3):180-2. doi: 10.1016/1010-7940(87)90038-8.