Kobayashi Toshiro, Yagi Takeshi, Okazaki Yoshikazu, Jinbo Mitsutaka, Saito Satoshi, Takahashi Tsuyoshi, Gohra Hidenori
Departments of Surgery, Saiseikai Yamaguchi General Hospital, 2-11 Midori-Cho, Yamaguchi, Yamaguchi 753-0078, Japan.
J Cardiothorac Surg. 2013 Jan 15;8:9. doi: 10.1186/1749-8090-8-9.
We report on a 74-year-old woman with an absence of right superior vena cava in visceroatrial situs solitus who underwent mitral valve plasty for severe mitral regurgitation. Preoperative three-dimensional computed tomography revealed an absent right and persistent left superior vena cava that drained into the right atrium by way of the coronary sinus. Perioperaively, placement of pulmonary artery catheter, site of venous cannulation, and management of associated rhythm abnormalities were great concern. Obtaining the information about this central venous malformation preoperatively, we performed mitral valve plasty without any difficulties related to this anomaly.
我们报告了一名74岁女性，其内脏心房位置正常，但右上腔静脉缺如，因严重二尖瓣反流接受了二尖瓣成形术。术前三维计算机断层扫描显示右位上腔静脉缺如，左位上腔静脉持续存在，并通过冠状窦引流至右心房。围手术期，肺动脉导管的放置、静脉插管部位以及相关节律异常的处理是非常令人关注的问题。由于术前获得了有关这种中心静脉畸形的信息，我们进行二尖瓣成形术时未遇到与该异常相关的任何困难。
