Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
J Card Surg. 2022 Aug;37(8):2443-2445. doi: 10.1111/jocs.16611. Epub 2022 May 16.
Congenital anomalies of the inferior vena cava are rare but if unidentified may create a risk for complications during surgery. In cardiac surgery, identifying such anomalies is crucial as they may alter the normal conduct of cardiopulmonary bypass. Herein, we describe a case of a 78-year-old women with an anomalous inferior vena cava draining into the superior vena cava, who was referred for surgical management of severe mitral regurgitation. We describe the clinical implication of the inferior vena cava anomality and the surgical strategies used to obtain adequate surgical exposure and venous drainage for cardiopulmonary bypass in a patient who underwent a mitral and tricuspid annuloplasty, bi-atrial MAZE procedure and a left atrial appendage closure.
下腔静脉先天性异常较为罕见，但如果未能识别，可能会在手术过程中带来并发症风险。在心脏手术中，识别此类异常至关重要，因为它们可能改变体外循环的正常进行。在此，我们描述了一例 78 岁女性患者，其下腔静脉异常引流至上腔静脉，该患者因严重二尖瓣反流而接受手术治疗。我们描述了下腔静脉异常的临床意义，以及在进行二尖瓣和三尖瓣瓣环成形术、双心房迷宫手术和左心耳闭合术的患者中，为获取体外循环所需的充分手术显露和静脉引流而采用的手术策略。
