Ding Mingyan, Zhang Huihui, Sun Dandan, Li Qiang, Jiao Ni, Zhu Fang
Department of Cardiovascular Function, People's Hospital of China Medical University, People's Hospital of Liaoning Province, Shenyang, China.
Front Cardiovasc Med. 2022 Apr 25;9:786278. doi: 10.3389/fcvm.2022.786278. eCollection 2022.
Total anomalous systemic venous drainage (TASVD) is a rare congenital heart malformation. Here, we report a case of a 40-year-old male patient who had a total anomalous systemic venous drainage. It was diagnosed as the TASVD for the first time through multimodal imaging combined Transthoracic (TTE), transesophageal (TEE) and three-dimensional (3D-TTE) echocardiography, contrast echocardiography and computed tomography angiography (CTA). We review 15 published reports on TASVD and summarize the ultrasonographic characteristics. After intracardiac repair through ectopic venous drainage in cardiac surgery, the patient's cyanosis symptoms were alleviated greatly. Echocardiography was the first-line examination for TASVD. Multimodal imaging combined TTE, TEE, 3D TEE, contrast echocardiography and CTA was necessary for confirmed diagnosis of TASVCD.
完全性体静脉异位引流（TASVD）是一种罕见的先天性心脏畸形。在此，我们报告一例40岁男性完全性体静脉异位引流患者。通过经胸（TTE）、经食管（TEE）和三维（3D-TTE）超声心动图、对比超声心动图及计算机断层血管造影（CTA）等多模态成像首次诊断为TASVD。我们回顾了15篇关于TASVD的已发表报告并总结其超声特征。心脏手术中通过异位静脉引流进行心内修复后，患者的紫绀症状明显缓解。超声心动图是TASVD的一线检查方法。多模态成像联合TTE、TEE、3D TEE、对比超声心动图和CTA对于确诊TASVCD是必要的。
