Tang Jianjun, Wu Zhihong, He Jia, Hu Qingdan, Yao Jun, Hu Lin, Zhou Shenghua, Chen Mingxian
The Second Xiangya Hospital of Central South University, Changsha, China.
Hongjiang First Hospital of Traditional Chinese Medicine, Huaihua, China.
Front Cardiovasc Med. 2022 Jul 13;9:942808. doi: 10.3389/fcvm.2022.942808. eCollection 2022.
A 46-year-old woman was admitted to the cardiovascular department because of a 3-month history of palpitations and exertional dyspnea. She had a history of a successful pregnancy at a very young age. The chest radiograph presented a "calabash" configuration. Echocardiogram discovered a large atrial septal defect with a suspected pulmonary vein abnormality. Cardiac CT revealed supracardiac total anomalous pulmonary venous return, whereby, all the pulmonary veins drain into a vertical vein and, finally, to the superior vena cava. Cardiac catheterization was consistent with anomalous pulmonary venous drainage without pulmonary hypertension. Finally, she underwent a successful surgical repair and appeared asymptomatic before her discharge.
一名46岁女性因心悸和劳力性呼吸困难3个月而入住心血管科。她年轻时曾有过一次成功妊娠史。胸部X线片呈“葫芦”形。超声心动图发现一个大的房间隔缺损，疑似肺静脉异常。心脏CT显示心上型完全性肺静脉异位引流，即所有肺静脉均汇入一条垂直静脉，最终汇入上腔静脉。心导管检查结果与无肺动脉高压的肺静脉异常引流相符。最后，她接受了成功的手术修复，出院前无症状。
