Misawa Y, Hasegawa T, Horimi H, Kuramatsu T, Shiraishi H, Yanagisawa M, Kimura S
Kyobu Geka. 1989 Dec;42(13):1123-6.
A 14-year-old girl was admitted for evaluation of heart murmur. Intravenous digital subtraction angiography (DSA) showed the right superior pulmonary vein drained into the superior vena cava and the left superior pulmonary vein drained into the innominate vein. At the operation, an anomalous bilateral superior pulmonary venous return with an intact atrial septum was confirmed. An atrial septal defect was created and the right superior pulmonary vein was baffled into the left atrium with a pericardial patch. The left superior pulmonary vein was divided and anastomosed to the left inferior pulmonary vein with a expanded polytetra-fluoro-ethylene graft. Post-operative DSA showed satisfactory long-term result of the operation.
一名14岁女孩因心脏杂音入院评估。静脉数字减影血管造影(DSA)显示右上肺静脉汇入上腔静脉,左上肺静脉汇入无名静脉。手术中,证实为双侧肺静脉异常回流且房间隔完整。制造了一个房间隔缺损,并用心包补片将右上肺静脉改道引入左心房。将左上肺静脉离断,并用膨体聚四氟乙烯移植物与左下肺静脉吻合。术后DSA显示手术长期效果满意。