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起搏器植入术中出现的一种不寻常的“领结”影像。

An unusual 'bow tie' image in pacemaker implantation.

作者信息

Turan Oguzhan Ekrem, Yilancioglu Resit Yigit, Baskurt Ahmet Anil, Ozcan Emin Evren

机构信息

Dokuz Eylul University, Faculty of Medicine, Heart Rhythm Management Center, Izmir, Turkey.

Dokuz Eylul University, Faculty of Medicine, Heart Rhythm Management Center, Izmir, Turkey.

出版信息

Indian Pacing Electrophysiol J. 2022 Jan-Feb;22(1):51-53. doi: 10.1016/j.ipej.2021.10.007. Epub 2021 Nov 1.

DOI:10.1016/j.ipej.2021.10.007
PMID:34737013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8811277/
Abstract

Upper venous system anatomic variations may cause difficulties during cardiac pacemaker implantation. Persistent left superior vena cava (PLSVC) and absent right superior vena cava could be an arrhythmogenic source of atrial arrhythmias and cardiac conduction disease. We represent dual-chamber pacemaker implantation in a patient with a very rare upper venous system anomaly, paroxysmal atrial fibrillation, sick sinus syndrome, that cause unusual fluoroscopic image.

摘要

上腔静脉系统的解剖变异可能会在心脏起搏器植入过程中造成困难。永存左上腔静脉（PLSVC）和右上腔静脉缺如可能是房性心律失常和心脏传导疾病的致心律失常源。我们展示了一名患有非常罕见的上腔静脉系统异常、阵发性心房颤动、病态窦房结综合征患者的双腔起搏器植入情况，该异常导致了不同寻常的荧光透视影像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/300cf12ec820/gr4b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/c2aabf4bf515/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/e6fb867654fc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/202ad6ef3e86/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/1c20788c6dc6/gr4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/300cf12ec820/gr4b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/c2aabf4bf515/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/e6fb867654fc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/202ad6ef3e86/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/1c20788c6dc6/gr4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/8811277/300cf12ec820/gr4b.jpg

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本文引用的文献

1
Isolated Persistent Left Superior Vena Cava, Sick Sinus Syndrome, and Challenging Pacemaker Implantation.孤立性永存左上腔静脉、病态窦房结综合征与具有挑战性的起搏器植入术
Case Rep Cardiol. 2017;2017:9842524. doi: 10.1155/2017/9842524. Epub 2017 Aug 24.
2
Pacemaker Placement in Persistent Left Superior Vena Cava.起搏器植入于永存左上腔静脉
Cureus. 2017 Jun 5;9(6):e1311. doi: 10.7759/cureus.1311.
3
Isolation of persistent left superior vena cava during atrial fibrillation ablation.房颤消融术中持续性左上腔静脉的分离
Indian Pacing Electrophysiol J. 2015 Jul 29;15(2):130-2. doi: 10.1016/j.ipej.2015.07.011. eCollection 2015 Mar-Apr.
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Comprehensive Imaging Review of the Superior Vena Cava.上腔静脉的综合影像学评估
Radiographics. 2015 Nov-Dec;35(7):1873-92. doi: 10.1148/rg.2015150056. Epub 2015 Oct 9.
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Left ventricular pacing in persistent left superior vena cava: a case series and potential application.持续性左上腔静脉中的左心室起搏：病例系列及潜在应用。
Europace. 2013 Jun;15(6):845-8. doi: 10.1093/europace/eus417. Epub 2013 Jan 2.
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Persistent left superior vena cava with absent right superior vena cava: morphological CT features and clinical implications.永存左上腔静脉伴右上腔静脉缺如：CT形态学特征及临床意义
Int J Cardiol. 2007 Apr 4;116(3):e103-5. doi: 10.1016/j.ijcard.2006.08.067. Epub 2006 Nov 13.
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Atrial fibrillation originating from persistent left superior vena cava.源于持续性左上腔静脉的心房颤动
Circulation. 2004 Feb 24;109(7):828-32. doi: 10.1161/01.CIR.0000116753.56467.BC. Epub 2004 Feb 2.