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先天性胸内体循环静脉异常的计算机断层扫描和磁共振成像。

Computed tomography and magnetic resonance imaging of congenital thoracic systemic venous anomalies.

机构信息

Department of Diagnostic and Interventional Radiology, Mansoura University, Faculty of Medicine, 12 El-Gomhoreya St., Mansoura, 35112, Egypt.

出版信息

Pediatr Radiol. 2023 May;53(5):1005-1018. doi: 10.1007/s00247-022-05570-w. Epub 2023 Jan 5.

DOI:10.1007/s00247-022-05570-w
PMID:36600100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10156895/
Abstract

We present the imaging findings of thoracic systemic venous anomalies diagnosed by computed tomography and magnetic resonance imaging. Persistent left superior vena cava is the commonest anomaly of the thoracic systemic veins encountered either incidentally as an isolated finding or associated with congenital heart disease. Inferior vena cava (IVC) interruption with azygos continuation is the second most common anomaly, which may also be isolated or be associated with left isomerism syndrome. The article will also discuss other rarer systemic venous anomalies including retroaortic brachiocephalic vein and IVC drainage into the left atrium. Finally, the impact of pre-procedure reporting of thoracic systemic venous anomalies on the choice of intervention and patient outcome will be addressed.

摘要

我们呈现了通过计算机断层扫描和磁共振成像诊断的胸部体静脉异常的影像学表现。左位上腔静脉永存是胸部体静脉最常见的异常，它可以作为孤立的发现偶然出现，也可以与先天性心脏病相关。下腔静脉（IVC）中断伴奇静脉延续是第二常见的异常，它也可以是孤立的，也可以与左位异构综合征相关。本文还将讨论其他更罕见的体静脉异常，包括主动脉后臂头静脉和 IVC 引流至左心房。最后，将讨论胸部体静脉异常的术前报告对干预选择和患者预后的影响。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/860d/10156895/b176de643c81/247_2022_5570_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/860d/10156895/0effeb73aa6b/247_2022_5570_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/860d/10156895/1edb4ff542d9/247_2022_5570_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/860d/10156895/b924ce9d3d6f/247_2022_5570_Fig11_HTML.jpg
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