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异常肺静脉引流的导管介入治疗。

Catheter intervention for abnormal pulmonary venous drainage.

作者信息

Saedi Sedigheh, Saedi Tahereh

机构信息

Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Egypt Heart J. 2018 Jun;70(2):125-127. doi: 10.1016/j.ehj.2018.01.003. Epub 2018 Feb 1.

DOI:10.1016/j.ehj.2018.01.003
PMID:30166894
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6112374/
Abstract

Transcatheter interventions for congenital heart anomalies are constantly improving. Although correction of anomalous pulmonary venous connection is routinely achieved through surgery, there are rare instances where the abnormal pulmonary vein has dual connections to both left atrium and the major systemic veins. Under these circumstances catheter based treatment might become a feasible option. We report a case of dual supply vertical vein connected to left upper pulmonary vein and innominate vein which was successfully obstructed by an occluder device leading to improvements in patient's condition.

摘要

先天性心脏畸形的经导管介入治疗正在不断改进。虽然异常肺静脉连接的矫正通常通过手术实现,但罕见情况下异常肺静脉与左心房和主要体静脉都有双重连接。在这种情况下,基于导管的治疗可能成为一种可行的选择。我们报告一例垂直静脉与左上肺静脉和无名静脉双重供血的病例,该静脉被封堵装置成功阻塞,患者病情得到改善。

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本文引用的文献

1
Successful transcatheter occlusion of an anomalous pulmonary vein with dual drainage to the left atrium.成功经导管封堵异常肺静脉双引流至左心房。
Catheter Cardiovasc Interv. 2015 Jun;85(7):1212-6. doi: 10.1002/ccd.25734. Epub 2015 Apr 7.
2
Association of left ventricular diverticula and sinus venosus atrial septal defect.左心室憩室与静脉窦型房间隔缺损的关联
Congenit Heart Dis. 2013 Sep-Oct;8(5):E145-8. doi: 10.1111/j.1747-0803.2012.00711.x. Epub 2012 Aug 15.
3
Transcatheter repair of partial anomalous pulmonary venous drainage using an amplatzer vascular plug in a postoperative patient with tetralogy of Fallot.
Pediatr Cardiol. 2013 Apr;34(4):1041-3. doi: 10.1007/s00246-012-0364-y. Epub 2012 May 22.
4
Partial anomalous pulmonary venous return: transcatheter repair.部分性肺静脉异位引流:经导管修复术
Pediatr Cardiol. 2011 Dec;32(8):1238-40. doi: 10.1007/s00246-011-0075-9. Epub 2011 Aug 6.
5
Interventional rerouting of scimitar vein to left atrium using an Amplatzer vascular plug.使用Amplatzer血管封堵器将弯刀状静脉介入性改道至左心房。
Congenit Heart Dis. 2007 Jul-Aug;2(4):265-9. doi: 10.1111/j.1747-0803.2007.00113.x.
6
Partially anomalous pulmonary venous connection: demonstration of dual drainage allowing nonsurgical correction.部分性肺静脉异位连接:双引流的显示及非手术矫正
Cathet Cardiovasc Diagn. 1998 Jul;44(3):330-5. doi: 10.1002/(sici)1097-0304(199807)44:3<330::aid-ccd19>3.0.co;2-o.