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一名患有二叶式主动脉瓣伴主动脉狭窄的患者，右侧上腔静脉缺如，左侧上腔静脉持续存在。

Absent right superior vena cava and persistent left superior vena cava in a patient with bicuspid aortic valve with aortic stenosis.

作者信息

Gupta Kushant, Bhuvana Vijayakanth, Bansal Varun, Ray Ruma, Kumar Arkalgud Sampath

机构信息

Department of Cardiac Anaesthesiology, Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India.

Department of Cardiovascular Surgery, Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India.

出版信息

Ann Card Anaesth. 2018 Apr-Jun;21(2):212-214. doi: 10.4103/aca.ACA_154_17.

DOI:10.4103/aca.ACA_154_17
PMID:29652290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5914229/
Abstract

Persistent left superior vena cava (LSVC) with absent right SVC (RSVC) is a rare congenital anomaly. If undetected, the condition may pose difficulties in central venous catheter insertion, pacemaker electrode insertion, and cannulation during cardiopulmonary bypass. We describe a case of persistent LSVC with absent RSVC, who was diagnosed to have bicuspid aortic valve with aortic stenosis.

摘要

永存左上腔静脉（LSVC）伴右上腔静脉（RSVC）缺如是一种罕见的先天性异常。如果未被发现，这种情况可能会在中心静脉导管插入、起搏器电极插入以及体外循环期间的插管过程中带来困难。我们描述了一例永存LSVC伴RSVC缺如的病例，该病例被诊断为二叶式主动脉瓣伴主动脉狭窄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada3/5914229/efd1836657df/ACA-21-212-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada3/5914229/db247a002e92/ACA-21-212-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada3/5914229/47a17cb81407/ACA-21-212-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada3/5914229/efd1836657df/ACA-21-212-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada3/5914229/db247a002e92/ACA-21-212-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada3/5914229/47a17cb81407/ACA-21-212-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada3/5914229/efd1836657df/ACA-21-212-g003.jpg

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本文引用的文献

1
Persistent Left Superior Vena Cava With Absent Right Superior Vena Cava and Bicuspid Aortic Valve: A Case Report and Review of Literature.永存左上腔静脉伴右上腔静脉缺如及二叶式主动脉瓣：一例病例报告及文献复习
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2
Bicuspid aortic valve associated with persistent left and absent right superior vena cava.
J Cardiothorac Vasc Anesth. 2009 Aug;23(4):579-80. doi: 10.1053/j.jvca.2008.09.008. Epub 2008 Dec 10.
3
Absent right superior vena cava and persistent left superior vena cava: the perioperative implications.右位上腔静脉缺如及永存左上腔静脉：围手术期影响
Anesth Analg. 2007 Jul;105(1):40-2. doi: 10.1213/01.ane.0000265551.06604.0b.
4
A case of absent right and persistent left superior vena cava.一例右侧上腔静脉缺如并左侧上腔静脉持续存在的病例。
Cardiovasc Ultrasound. 2006 Jan 26;4:6. doi: 10.1186/1476-7120-4-6.
5
Persistent left superior vena cava discovered during placement of central venous catheter.
Tex Heart Inst J. 1998;25(1):90.