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Total anomalous pulmonary vein drainage in a 60-year-old woman diagnosed in an ECG-gated multidetector computed tomography - a case report and review of literature.

作者信息

Czekajska-Chehab Elżbieta, Tomaszewski Andrzej, Adamczyk Piotr, Zakościelna Magdalena, Wojtkowska Agnieszka, Siek Elżbieta, Staśkiewicz Grzegorz, Drop Andrzej

机构信息

I Department of Medical Radiology, Medical University of Lublin, Lublin, Poland.

Department of Cardiology, Medical University of Lublin, Lublin, Poland.

出版信息

Pol J Radiol. 2018 Jul 5;83:e334-e339. doi: 10.5114/pjr.2018.77696. eCollection 2018.

DOI:10.5114/pjr.2018.77696
PMID:30627256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6323547/
Abstract

PURPOSE

Total anomalous pulmonary vein drainage (TAPVD) is a congenital cardiac defect in which there is no connection between pulmonary veins and the left atrium. Pulmonary veins form a confluence independent of the left atrium and drain to a systemic vein. TAPVD types are: supracardiac, cardiac, infracardiac, and mixed. TAPVD accounts for approximately 1.5-2.2% of all congenital heart diseases. This anomaly is usually diagnosed in the neonatal period, and it coexists with atrial septal defect. Adult cases of TAPVD are rarely reported.

CASE REPORT

We report a rare case of a 60-year-old woman with incidentally found, uncorrected TAPVD in ECG-gated multidetector computed tomography. In previous echocardiographic examinations partial anomalous pulmonary venous return and atrial septal defect were diagnosed.

CONCLUSIONS

ECG-gated multidetector computed tomography is a valuable diagnostic method for adults with congenital heart disease. It enables evaluation of coronary arteries and simultaneously provides detailed anatomy of great vessels.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/1a5a333d7079/PJR-83-77696-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/ea3eb4e40f70/PJR-83-77696-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/a6641678abbb/PJR-83-77696-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/550bc40da061/PJR-83-77696-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/850e42f4b8a8/PJR-83-77696-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/1a5a333d7079/PJR-83-77696-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/ea3eb4e40f70/PJR-83-77696-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/a6641678abbb/PJR-83-77696-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/550bc40da061/PJR-83-77696-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/850e42f4b8a8/PJR-83-77696-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/6323547/1a5a333d7079/PJR-83-77696-g005.jpg

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本文引用的文献

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Anatomical Evaluation of the Pulmonary Veins and the Left Atrium Using Computed Tomography Before Catheter Ablation: Reproducibility of Measurements.导管消融术前使用计算机断层扫描对肺静脉和左心房进行解剖学评估：测量的可重复性
Pol J Radiol. 2016 May 11;81:228-32. doi: 10.12659/PJR.898650. eCollection 2016.
2
Supra-cardiac type (1a) total anomalous pulmonary venous return with right to left shunt atrial septal defect diagnosed by 320 slice CT.
Eur Heart J. 2015 Jul 21;36(28):1776. doi: 10.1093/eurheartj/ehv076. Epub 2015 Apr 4.
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Successful surgical intervention of total anomalous pulmonary venous drainage in the third decade of life.在生命的第三个十年成功进行完全性肺静脉异位引流的手术干预。
Ann Med Surg (Lond). 2013 Nov 4;2(2):60-2. doi: 10.1016/S2049-0801(13)70039-6. eCollection 2013.
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The left atrial appendage: anatomy, function, and noninvasive evaluation.左心耳：解剖、功能和无创评估。
JACC Cardiovasc Imaging. 2014 Dec;7(12):1251-65. doi: 10.1016/j.jcmg.2014.08.009.
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Rare variant of mixed total anomalous pulmonary venous drainage (TAPVD) in a 55-year-old patient.
Eur Heart J Cardiovasc Imaging. 2015 Feb;16(2):227. doi: 10.1093/ehjci/jeu190. Epub 2014 Oct 21.
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Imaging in congenital pulmonary vein anomalies: the role of computed tomography.先天性肺静脉异常的影像学：计算机断层扫描的作用。
Pediatr Radiol. 2014 Sep;44(9):1158-68; quiz 1155-7. doi: 10.1007/s00247-014-3044-7. Epub 2014 Aug 21.
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Pentalogy of Cantrell with ectopia cordis totalis, total anomalous pulmonary venous connection, and tetralogy of Fallot: a case report and review of the literature.伴有完全性心脏异位、完全性肺静脉异位连接及法洛四联症的坎特雷尔五联症：一例报告并文献复习
Congenit Heart Dis. 2014 Jul-Aug;9(4):E129-34. doi: 10.1111/chd.12101. Epub 2013 Jun 10.
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Total anomalous pulmonary venous connection in a 64-year-old man: a case report.一名64岁男性的完全性肺静脉异位连接：病例报告
Ann Thorac Cardiovasc Surg. 2013;19(1):46-8. doi: 10.5761/atcs.cr.11.01763. Epub 2012 Jun 15.
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