Simha Parimala Prasanna, Patel Muralidhara Danappa, Jagadeesh A M
Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences, Bangalore, India.
Ann Card Anaesth. 2012 Apr-Jun;15(2):134-7. doi: 10.4103/0971-9784.95077.
Total anomalous systemic venous connection (TASVC) to the left atrium (LA) is a rare congenital anomaly. An 11-year-old girl presented with complaints of palpitations and cyanosis. TASVC with left isomerism and noncompaction of LV was diagnosed after contrast echocardiogram and computed tomography angiogram. The knowledge of anatomy and pathophysiology is essential for the successful management of these cases. Anesthetic concerns in this case were polycythemia, paradoxical embolism and rhythm abnormalities. The patient was successfully operated by rerouting the systemic venous connection to the right atrium.
完全性体静脉异位连接至左心房（TASVC）是一种罕见的先天性异常。一名11岁女孩因心悸和发绀前来就诊。经对比超声心动图和计算机断层血管造影检查后，诊断为TASVC合并左位异构及左心室心肌致密化不全。了解解剖结构和病理生理对成功处理这些病例至关重要。该病例的麻醉关注点包括红细胞增多症、反常栓塞和节律异常。通过将体静脉连接改道至右心房，患者手术成功。
