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成人部分性肺静脉异位回流修复术与上腔静脉综合征:沃登手术的一种延迟并发症

Adult Partial Anomalous Pulmonary Venous Return Repair and Superior Vena Cava Syndrome: A Delayed Complication of the Warden Procedure.

作者信息

Perchik Jordan D, Wilson Claire M, Abozeed Mostafa, Manapragada Padma P, Ahmed Asmaa N, Singh Satinder P

机构信息

Department of Radiology, University of Alabama at Birmingham, 619 19th St S, Birmingham, AL 35294 (J.D.P., M.A., P.P.M., A.N.A., S.P.S.); and University of Alabama at Birmingham School of Medicine, Birmingham, Ala (C.M.W.).

出版信息

Radiol Cardiothorac Imaging. 2022 Oct 13;4(5):e220077. doi: 10.1148/ryct.220077. eCollection 2022 Oct.

DOI:10.1148/ryct.220077
PMID:36339061
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9627227/
Abstract

The Warden procedure is one of the most common techniques for surgical correction of partial anomalous pulmonary venous return (PAPVR), involving transection and reanastomosis of the superior vena cava (SVC) to the right atrial appendage and baffling of the anomalous pulmonary veins through the atrial septal defect. While the procedure is typically well-tolerated in pediatric patients, adult patients requiring surgical correction of PAPVR are uncommon. The authors report a case of a 33-year-old woman who developed SVC syndrome as a delayed complication of the Warden procedure. Cardiac, Congenital, Complications © RSNA, 2022.

摘要

沃登手术是外科矫正部分性肺静脉异位引流(PAPVR)最常用的技术之一,该手术包括切断上腔静脉(SVC)并将其重新吻合至右心耳,以及通过房间隔缺损封堵异常肺静脉。虽然该手术在儿科患者中通常耐受性良好,但需要手术矫正PAPVR的成年患者并不常见。作者报告了一例33岁女性患者,其出现上腔静脉综合征,这是沃登手术的一种延迟并发症。心脏、先天性、并发症 © RSNA,2022年。

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本文引用的文献

1
Younger Age at Operation Is Associated With Reinterventions After the Warden Procedure.手术年龄较小与 Warden 手术后的再次干预有关。
Ann Thorac Surg. 2021 Jun;111(6):2059-2065. doi: 10.1016/j.athoracsur.2020.05.143. Epub 2020 Jul 24.
2
Surgical repair of partial anomalous pulmonary venous return with intact atrial septum in a 65-year-old woman: a case report.65岁女性房间隔完整的部分性肺静脉异位回流的手术修复:病例报告
J Med Case Rep. 2018 Nov 24;12(1):350. doi: 10.1186/s13256-018-1874-x.
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Outcomes of the Warden procedure for partial anomalous pulmonary venous drainage in children.儿童部分性肺静脉异位引流的沃登手术结果
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Comprehensive Cross-sectional Imaging of the Pulmonary Veins.肺静脉的全面横断面成像。
Radiographics. 2017 Nov-Dec;37(7):1928-1954. doi: 10.1148/rg.2017170050.
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Superior vena cava obstruction evaluation with MDCT.MDCT 评估上腔静脉阻塞。
AJR Am J Roentgenol. 2010 Apr;194(4):W336-46. doi: 10.2214/AJR.09.2894.
6
Where there is blood, there is a way: unusual collateral vessels in superior and inferior vena cava obstruction.有血就有路:上、下腔静脉阻塞时不寻常的侧支血管。
Radiographics. 2010 Jan;30(1):67-78. doi: 10.1148/rg.301095724.
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Venous anomalies of the thorax.胸部静脉异常
AJR Am J Roentgenol. 2004 May;182(5):1139-50. doi: 10.2214/ajr.182.5.1821139.
8
An alternative method for repair of partial anomalous pulmonary venous connection to the superior vena cava.一种用于修复部分性肺静脉异位连接至上腔静脉的替代方法。
Ann Thorac Surg. 1984 Dec;38(6):601-5. doi: 10.1016/s0003-4975(10)62317-x.