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独特的腔静脉异常:双上腔静脉和下腔静脉中断病例

Unique venocaval anomalies: case of duplicate superior vena cava and interrupted inferior vena cava.

作者信息

Hagans Iris, Markelov Alexey, Makadia Manthan

机构信息

Department of Surgery, Easton Hospital and Drexel University College of Medicine, Philadelphia, PA, USA.

出版信息

J Radiol Case Rep. 2014 Jan 1;8(1):20-6. doi: 10.3941/jrcr.v8i1.1354. eCollection 2014 Jan.

Abstract

Venocaval anomalies are uncommon in the general population and often go unrecognized, but physicians should be aware of their significance. Duplicate superior vena cava should be identified during cardiac imaging, surgery, and catheter insertions. While interrupted inferior vena cava can predispose to thrombus formation, they protect against pulmonary embolism from lower extremity deep vein thrombosis. We describe a unique case of a patient in which combined superior vena cava and inferior vena cava anomalies were found incidentally. This is the first reported case of a duplicate superior vena cava and interrupted inferior vena cava in a single patient in English literature. This article also provides a literature review on the topic.

摘要

腔静脉异常在普通人群中并不常见,且常常未被识别,但医生应了解其重要性。在心脏成像、手术及导管插入过程中应识别出双上腔静脉。虽然下腔静脉中断易导致血栓形成,但可预防下肢深静脉血栓引发的肺栓塞。我们描述了一例独特病例,该患者偶然发现合并有上腔静脉和下腔静脉异常。这是英文文献中首次报道的同一患者同时存在双上腔静脉和下腔静脉中断的病例。本文还提供了关于该主题的文献综述。

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本文引用的文献

1
Congenital anomalies of the inferior vena cava.下腔静脉先天性异常。
Clin Radiol. 2012 Feb;67(2):165-71. doi: 10.1016/j.crad.2011.08.006. Epub 2011 Nov 8.
4
Prenatal diagnosis and outcome of isolated interrupted inferior vena cava.孤立性下腔静脉中断的产前诊断与结局。
Am J Obstet Gynecol. 2010 Apr;202(4):398.e1-4. doi: 10.1016/j.ajog.2009.11.014. Epub 2010 Jan 13.
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Venous thrombosis and congenital absence of inferior vena cava in a patient with menorrhagia and pelvic pain.
J Pediatr Adolesc Gynecol. 2010 Feb;23(1):e17-21. doi: 10.1016/j.jpag.2009.04.007. Epub 2009 Jul 29.
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Double superior and inferior vena cava: unusual venous anomaly.
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Double superior vena cava.
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