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左侧下腔静脉伴半奇静脉延续至左上腔静脉。

Left-sided Inferior Vena Cava with Hemiazygos Continuation to Left Superior Vena Cava.

作者信息

Kabakus Ismail, Kocher Madison, Agha Ali, Burt Jeremy R

机构信息

Radiology, Medical University of South Carolina, Charleston, USA.

Internal Medicine, University of Texas Health Science Center, Houston, USA.

出版信息

Cureus. 2019 Dec 29;11(12):e6503. doi: 10.7759/cureus.6503.

DOI:10.7759/cureus.6503
PMID:32025424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6988717/
Abstract

Congenital anomalies of superior (SVC) and inferior vena cava (IVC) are not uncommon and usually incidentally recognized. The normal embryogenesis is a complex process involving the formation of several anastomoses. Failure of certain vessels to develop or regress results in numerous caval variations and anomalies. Although these are usually without significant clinical implications, awareness of these anomalies is necessary to avoid diagnostic pitfalls and suggest the presence of other abnormalities and for the planning of vascular intervention or surgery. We present a very rare, caval anomaly, a left-sided IVC with hemiazygos continuation to left SVC in the absence of right SVC.

摘要

上腔静脉(SVC)和下腔静脉(IVC)的先天性异常并不罕见,通常是偶然发现的。正常的胚胎发生是一个复杂的过程,涉及多个吻合支的形成。某些血管发育或退化失败会导致大量的腔静脉变异和异常。虽然这些通常没有明显的临床意义,但了解这些异常对于避免诊断陷阱、提示其他异常的存在以及规划血管介入或手术是必要的。我们报告一例非常罕见的腔静脉异常,即左侧IVC伴半奇静脉延续至左侧SVC且无右侧SVC。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ba2/6988717/298b5eb99ea2/cureus-0011-00000006503-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ba2/6988717/18d7b1113eb5/cureus-0011-00000006503-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ba2/6988717/3b95f0398b65/cureus-0011-00000006503-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ba2/6988717/298b5eb99ea2/cureus-0011-00000006503-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ba2/6988717/18d7b1113eb5/cureus-0011-00000006503-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ba2/6988717/3b95f0398b65/cureus-0011-00000006503-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ba2/6988717/298b5eb99ea2/cureus-0011-00000006503-i03.jpg

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Computed tomography of vena caval anomalies with embryologic correlation.伴有胚胎学关联的腔静脉异常的计算机断层扫描
下腔静脉左侧膈下破裂、奇静脉延续、腹主动脉后左肾静脉——一种复杂、有症状的腔静脉异常,采用血管内介入治疗进行管理。
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