Gomez Jorge, Soledispa Carlos
Department of Pediatrics, Section of Pediatric Cardiology, Hospital Posadas, Buenos Aires, Argentina.
J Invasive Cardiol. 2012 May;24(5):E96-8.
An 8-year-old male patient was sent to the catheterization laboratory for assessment of a partial anomalous pulmonary venous connection found by echocardiography. During the intervention, cineangiogram revealed left pulmonary veins draining to the right atrium through left innominate and vertical veins. Despite this anatomical feature, these pulmonary veins were also connected to the left atrium. In a second intervention, we successfully occluded the vertical vein using a vascular closure device (Amplatzer Vascular Plug II, AGA Medical), redirecting pulmonary venous flow towards the left atrium. Anatomy, technique, and management of the procedure are discussed here.
一名8岁男性患者因超声心动图发现部分性肺静脉异位连接而被送往心导管实验室进行评估。在介入过程中，心血管造影显示左肺静脉通过左无名静脉和垂直静脉引流至右心房。尽管存在这种解剖特征，但这些肺静脉也与左心房相连。在第二次介入中，我们使用血管闭合装置（Amplatzer血管封堵器II型，AGA Medical公司）成功封堵了垂直静脉，使肺静脉血流改向流入左心房。本文讨论了该手术的解剖、技术和管理。
