一例离奇的无法进行冠状窦插管的病例。

Krishnamurthy Preetam, Sharma Gautam, Gulati Gurpreet, Siddharthan Deepti

Department of Cardiology, The All India Institute of Medical Sciences, New Delhi, India.

Indian Pacing Electrophysiol J. 2019 Sep-Oct;19(5):202-204. doi: 10.1016/j.ipej.2019.09.003. Epub 2019 Sep 12.

A 40-year-old male, diagnosed to have WPW syndrome and symptomatic with recurrent palpitations, was taken up for radiofrequency ablation. There was difficulty in coronary sinus cannulation. Coronary venogram revealed coronary sinus atresia with persistent left superior vena cava, and collateral venous pathways draining into the right atrium. This case is discussed for the rare coronary venous anomaly, its embryology and the difficulties in the management during electrophysiological studies.

一名40岁男性，被诊断为预激综合征，有反复发作心悸的症状，接受了射频消融治疗。冠状窦插管困难。冠状静脉造影显示冠状窦闭锁伴永存左上腔静脉，并有侧支静脉通路引流至右心房。本文讨论了这种罕见的冠状静脉异常、其胚胎学以及电生理研究过程中的管理难点。