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成人期偶然发现的心上方左侧部分性肺静脉异常连接及奇静脉扩张

An Incidental Discovery of Supracardiac Left-sided Partial Anomalous Pulmonary Connection and Dilation of the Azygos Vein Detected in Adulthood.

作者信息

Lizarazo Ortega David A, Rivero Oscar

机构信息

Diagnostic Imaging Department, Fundación Santa Fe de Bogotá, Universidad El Bosque, Bogota, Colombia.

Diagnostic Imaging Department, Fundación Santa Fe de Bogotá, Bogota, Colombia.

出版信息

Curr Med Imaging. 2023;19(4):414-416. doi: 10.2174/1573405618666220609193652.

DOI:10.2174/1573405618666220609193652
PMID:35692157
Abstract

INTRODUCTION

Anomalous pulmonary venous connection is a rare congenital variant of the pulmonary veins drained into the right atrium. The left-side partial anomalous pulmonary connections are usually detected in adulthood and occasionally drain into the left brachiocephalic vein.

CASE DESCRIPTION

An asymptomatic 63-year-old woman with a known history of left carotid body paraganglioma was admitted to our institution to evaluate this tumor by computed tomography angiography of the neck and brain. As an incidental finding, CTA demonstrated a supracardiac partial anomalous pulmonary venous connection between the left upper pulmonary vein and the left innominate via the vertical vein. Additionally, dilation of the azygos vein was observed.

CONCLUSION

Supracardiac left-sided partial anomalous pulmonary venous connection is a rare vascular variant, usually asymptomatic and found incidentally in adults.

摘要

引言

肺静脉异常连接是一种罕见的先天性变异,指肺静脉引流至右心房。左侧部分性肺静脉异常连接通常在成年期被发现,偶尔会引流至左头臂静脉。

病例描述

一名63岁无症状女性,有左侧颈动脉体副神经节瘤病史,因行颈部和脑部计算机断层血管造影以评估该肿瘤而入住我院。作为偶然发现,CTA显示左上肺静脉通过垂直静脉与左无名静脉之间存在心上型部分性肺静脉异常连接。此外,还观察到奇静脉扩张。

结论

心上型左侧部分性肺静脉异常连接是一种罕见的血管变异,通常无症状,在成人中偶然发现。

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