房室结折返性心动过速消融与下腔静脉发育不全

Atrioventricular nodal reentrant tachycardia ablation and inferior vena cava agenesis.

作者信息

Galand Vincent, Pavin Dominique, Behar Nathalie, Mabo Philippe, Martins Raphaël P

机构信息

CHU Rennes, Service de Cardiologie et Maladies Vasculaires, Rennes F-35000, France; Université de Rennes 1, LTSI, Rennes F-35000, France; INSERM, U1099, Rennes F-35000, France.

出版信息

Rev Port Cardiol. 2016 Oct;35(10):541.e1-4. doi: 10.1016/j.repc.2015.12.008. Epub 2016 Sep 12.

DOI:10.1016/j.repc.2015.12.008

PMID:27633734

Abstract

Congenital anomalies of the inferior vena cava (IVC) are rare and very often diagnosed in asymptomatic patients during computed tomography performed for other purposes. These anomalies can have significant clinical implications, for example if electrophysiology procedures are needed. Diagnostic and ablation procedures are difficult since catheter manipulation and positioning are more complex. We present here a case of successful atrioventricular nodal reentrant tachycardia ablation in a patient with unexpected IVC agenesis, using an azygos route.

摘要

下腔静脉（IVC）先天性异常较为罕见，常在因其他目的进行计算机断层扫描时，被偶然诊断出，患者多无症状。这些异常可能具有重大临床意义，例如在需要进行电生理检查时。由于导管操作和定位更为复杂，诊断和消融手术颇具难度。我们在此呈现一例通过奇静脉途径成功消融房室结折返性心动过速的病例，该患者存在意外的下腔静脉缺如情况。