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在一名下腔静脉中断的患者中,在川岛手术前出现了静脉-静脉畸形。

Venovenous malformation developed prior to a Kawashima operation in a patient with an interrupted inferior vena cava.

作者信息

Ozawa Hideto, Hoashi Takaya, Fujimoto Kazuto, Ichikawa Hajime

机构信息

Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

出版信息

Interact Cardiovasc Thorac Surg. 2018 Jul 1;27(1):148-150. doi: 10.1093/icvts/ivy031.

DOI:10.1093/icvts/ivy031
PMID:29447368
Abstract

An 11-month-old girl with an unbalanced atrioventricular septal defect, coarctation of the aorta and an interrupted inferior vena cava with hemiazygos continuation post-surgical status of coarctation repair and pulmonary artery banding underwent a Kawashima operation. Severe hypoxia occurred immediately after she was weaned from cardiopulmonary bypass, which was successfully resolved by the ligation of the hemiazygos vein. Postoperative enhanced computed tomography detected significant venovenous malformation from the hemiazygos vein to the left renal vein.

摘要

一名11个月大的女童,患有房室间隔缺损、主动脉缩窄以及下腔静脉中断伴奇静脉延续,曾接受主动脉缩窄修复术和肺动脉环扎术,术后接受了川岛手术。在她脱离体外循环后立即出现严重缺氧,通过结扎奇静脉成功解决。术后增强计算机断层扫描检测到从奇静脉到左肾静脉存在明显的静脉静脉畸形。

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