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右上腔静脉连接左心房伴部分性肺静脉异位引流及房间隔完整：反常栓塞的罕见原因

Right Superior Vena Cava Connected Left Atrium with Partial Anomalous Pulmonary Venous Return and Intact Atrial Septum: An Unusual Cause of Paradoxical Embolism.

作者信息

Al Sehly Abdullah A, Hrfi Abdah, BinSalahuddin Ahmed

机构信息

King Faisal Heart Institute, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.

Department of Pediatric Cardiology, Prince Sultan Cardiac Center, Qassim, Saudi Arabia.

出版信息

J Saudi Heart Assoc. 2022 Apr 18;34(2):66-69. doi: 10.37616/2212-5043.1298. eCollection 2022.

DOI:10.37616/2212-5043.1298
PMID:35774080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9200443/
Abstract

A six-month-old girl presented with history of convulsion and cyanosis, was eventually found to have a right superior vena cava connected to left atrium with anomalous upper right pulmonary vein return and without atrial septal defect. Diagnosis was confirmed by cardiac magnetic resonance imaging. The patient underwent a successful cardiac surgery correction, routing SVC to right atrium and repair of right upper pulmonary vein to left atrium.

摘要

一名6个月大的女孩有惊厥和发绀病史，最终被发现右头臂静脉与左心房相连，右上肺静脉回流异常且无房间隔缺损。心脏磁共振成像确诊了该诊断。患者接受了成功的心脏手术矫正，将上腔静脉改道至右心房，并修复右上肺静脉至左心房。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/9200443/6bfcabae3012/sha-66-69f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/9200443/2661f0ec3b7a/sha-66-69f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/9200443/d6a8ade84874/sha-66-69f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/9200443/6bfcabae3012/sha-66-69f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/9200443/2661f0ec3b7a/sha-66-69f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/9200443/d6a8ade84874/sha-66-69f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/9200443/6bfcabae3012/sha-66-69f3.jpg

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Right Superior Vena Cava Connected Left Atrium with Partial Anomalous Pulmonary Venous Return and Intact Atrial Septum: An Unusual Cause of Paradoxical Embolism.右上腔静脉连接左心房伴部分性肺静脉异位引流及房间隔完整：反常栓塞的罕见原因
J Saudi Heart Assoc. 2022 Apr 18;34(2):66-69. doi: 10.37616/2212-5043.1298. eCollection 2022.
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J Thorac Cardiovasc Surg. 1989 Nov;98(5 Pt 2):861-8.
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Bilateral superior vena cava with right superior vena cava draining into left atrium.双侧上腔静脉，右侧上腔静脉引流至左心房。
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[Superior vena cava-right atrial appendage direct anastomosis for repair of partial anomalous pulmonary venous connection to superior vena cava].[上腔静脉-右心耳直接吻合术修复部分性肺静脉异位连接至上腔静脉]
Kyobu Geka. 1994 Apr;47(4):307-10.
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[A case of partial anomalous pulmonary venous connection to the high superior vena cava with intact atrial septum].[一例房间隔完整的部分性肺静脉异位连接至高位上腔静脉的病例]
Nihon Kyobu Geka Gakkai Zasshi. 1993 Aug;41(8):1415-9.
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Pulmonary venous collaterals secondary to superior vena cava stenosis: a rare cause of right-to-left shunting following repair of a sinus venosus atrial septal defect.上腔静脉狭窄继发的肺静脉侧支循环：静脉窦型房间隔缺损修复术后右向左分流的罕见原因。
Pediatr Cardiol. 1989 Winter;10(1):49-51. doi: 10.1007/BF02328636.

本文引用的文献

1
Isolated Right Superior Cava Drainage to the Left Atrium: An Uncommon Etiology of Cyanosis.孤立性上腔静脉右房引流：发绀的一种不常见病因。
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):528-530. doi: 10.1177/2150135120912401.
2
[Paradoxical embolism due to right superior vena cava draining into the left atrium].[因右上腔静脉引流至左心房导致的反常栓塞]
Rinsho Shinkeigaku. 2018 Mar 28;58(3):171-177. doi: 10.5692/clinicalneurol.cn-001107.
3
Role of pulse oximetry in examining newborns for congenital heart disease: a scientific statement from the AHA and AAP.
脉搏血氧饱和度测定在新生儿先天性心脏病检查中的作用：美国心脏协会和美国儿科学会的科学声明
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4
A case of anomalous drainage of the superior vena cava into the left atrium.
J Thorac Cardiovasc Surg. 1961 Apr;41:550-6.
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Persistence of left superior vena cava.左上腔静脉持续存在。
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6
Biatrial or left atrial drainage of the right superior vena cava: anatomic, morphogenetic, and surgical considerations--report of three new cases and literature review.右上腔静脉双心房或左心房引流：解剖、形态发生及手术考量——三例新病例报告及文献综述
Pediatr Cardiol. 2003 Jul-Aug;24(4):350-63. doi: 10.1007/s00246-002-0329-7. Epub 2002 Dec 4.
7
Congenital anomalies of the venae cavae: embryological origin, imaging features and report of three new variants.腔静脉先天性异常：胚胎学起源、影像学特征及三个新变异型报告
Eur Radiol. 2002 Aug;12(8):2040-55. doi: 10.1007/s00330-001-1241-x. Epub 2002 Mar 19.
8
Anomalies of the systemic venous return: a review.体循环静脉回流异常：综述
J Card Surg. 1990 Jun;5(2):122-33. doi: 10.1111/j.1540-8191.1990.tb00749.x.