Hamamoto Masaki, Kobayashi Taira, Kodama Hiroshi
Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan
Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan.
Asian Cardiovasc Thorac Ann. 2015 Oct;23(8):966-9. doi: 10.1177/0218492314527767. Epub 2014 Mar 12.
We describe the rare case of a 76-year-old man with left partial anomalous pulmonary venous connection with intact atrial septum. He experienced dyspnea due to significant aortic stenosis and mitral regurgitation, and required valve repair. Preoperative computed tomography revealed connection of the left upper pulmonary vein to the innominate vein. Although right heart overload was not recognized, we repaired the left partial anomalous pulmonary venous connection with concomitant aortic valve replacement and mitral annuloplasty, because of the potential for unpredictable harmful effects of a residual left-to-right shunt. The patient recovered well with no signs of left upper lung congestion.
我们描述了一例罕见的76岁男性病例，其患有左部分性肺静脉异位连接且房间隔完整。他因严重主动脉瓣狭窄和二尖瓣反流而出现呼吸困难，需要进行瓣膜修复。术前计算机断层扫描显示左上肺静脉与无名静脉相连。尽管未发现右心负荷过重，但由于残余左向右分流可能产生不可预测的有害影响，我们在进行主动脉瓣置换和二尖瓣环成形术的同时修复了左部分性肺静脉异位连接。患者恢复良好，未出现左上肺充血迹象。
