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右上腔静脉异常引流导致的新生儿中枢性青紫

Neonatal Central Cyanosis Caused by Anomalous Drainage of the Right Superior Vena Cava.

作者信息

Sethasathien Saviga, Pomrop Mallika, Saengsin Kwannapas, Khuwuthyakorn Varangthip, Silvilairat Suchaya

机构信息

Department of Pediatrics, Division of Cardiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

出版信息

J Cardiovasc Echogr. 2019 Oct-Dec;29(4):175-176. doi: 10.4103/jcecho.jcecho_30_19.

Abstract

The draining of the right superior vena cava (SVC) into the left atrium is a very rare anomaly of systemic vein drainage. This case report describes a term male infant presenting with central cyanosis diagnosed with right SVC drainage into the left atrium. The diagnosis was performed using conventional echocardiography and computed tomography angiography. Surgical correction with translocation of the right SVC to the right atrium was necessary to treat the symptom of cyanosis and prevent further complications, including brain abscesses and paradoxical embolization.

摘要

右上腔静脉(SVC)引流至左心房是一种非常罕见的体静脉引流异常。本病例报告描述了一名足月男婴,表现为中心性发绀,诊断为右上腔静脉引流至左心房。诊断采用传统超声心动图和计算机断层血管造影。为治疗发绀症状并预防包括脑脓肿和反常栓塞在内的进一步并发症,有必要进行将右上腔静脉移位至右心房的手术矫正。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a4a/7011491/831dcf2a31bb/JCE-29-175-g001.jpg

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