患者急性主动脉夹层合并主动脉后无名静脉骑跨。
Incidental retroaortic innominate vein in a patient with acute aortic dissection.
机构信息
Department of Cardiovascular Surgery, Ehime Prefectural Central Hospital, 83 Kasuga-cho, Matsuyama, Ehime, 790-0024, Japan.
Division of Internal Medicine, Tokyo-Shinagawa Hospital, 6-3-22, Higashi-Oi, Shinagawa, Tokyo, 140-8522, Japan.
出版信息
J Cardiothorac Surg. 2020 Sep 29;15(1):272. doi: 10.1186/s13019-020-01318-5.
BACKGROUND
Retroaortic innominate vein is a rare anomaly. It has been reported in patients with congenital anomalies such as Tetralogy of Fallot or right aortic arch. However, isolated retroaortic innominate vein is quite rare.
CASE PRESENTATION
A 63-year-old man was transferred to our institution because of Stanford type A acute aortic dissection. Incidentally, we noticed that the left innominate vein coursed under the aortic arch and was directed into the superior vena cava on computed tomography. We performed emergent hemiarch replacement.
CONCLUSIONS
Attention must be paid to the cannulation site for venous uptake and the method of myocardial protection.
背景
主动脉后无名静脉是一种罕见的异常。它已在患有法洛四联症或右位主动脉弓等先天性异常的患者中报道。然而，孤立性主动脉后无名静脉非常罕见。
病例介绍
一名 63 岁男性因 Stanford 型 A 型急性主动脉夹层被转至我院。偶然间，我们在计算机断层扫描中注意到左无名静脉在主动脉弓下走行，并指向上腔静脉。我们进行了紧急的半弓置换。
结论
必须注意静脉摄取的插管部位和心肌保护方法。
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