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上腔静脉异常:先天性心脏病患儿群体中的发生率、相关心脏异常及血管造影分类

Superior vena caval abnormalities: their occurrence rate, associated cardiac abnormalities and angiographic classification in a paediatric population with congenital heart disease.

作者信息

Buirski G, Jordan S C, Joffe H S, Wilde P

出版信息

Clin Radiol. 1986 Mar;37(2):131-8. doi: 10.1016/s0009-9260(86)80382-8.

DOI:10.1016/s0009-9260(86)80382-8
PMID:3698495
Abstract

Angiography of the superior systemic veins was performed on 510 patients with congenital heart disease. An analysis of these angiograms was carried out and a simple angiographic classification of superior vena caval anomalies is presented. Eleven per cent of cases had complete bilateral superior vena cavae, a frequency of occurrence higher than that previously reported. An analysis of associated congenital heart lesions revealed a higher than average association of bilateral superior vena cavae with atrioventricular septal defects and double-outlet right ventricle, but this was seen rarely in cases of transposition of the great arteries. Bilateral superior vena cavae also occurred very frequently (72%) in patients with situs abnormalities. Femoral vein catheterisation is likely to facilitate diagnosis and appropriate radiological signs are discussed.

摘要

对510例先天性心脏病患者进行了上腔静脉血管造影。对这些血管造影片进行了分析,并提出了一种简单的上腔静脉异常血管造影分类法。11%的病例有完全性双侧上腔静脉,其发生率高于先前报道。对相关先天性心脏病变的分析显示,双侧上腔静脉与房室间隔缺损和右心室双出口的关联高于平均水平,但在大动脉转位病例中很少见。双侧上腔静脉在位置异常的患者中也很常见(72%)。股静脉插管可能有助于诊断,并讨论了适当的放射学征象。

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Superior vena caval abnormalities: their occurrence rate, associated cardiac abnormalities and angiographic classification in a paediatric population with congenital heart disease.上腔静脉异常:先天性心脏病患儿群体中的发生率、相关心脏异常及血管造影分类
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