Degreef J M, Saulnier F, Rémy J, Bart F, Wallaert B, Tonnel A B
Rev Mal Respir. 1986;3(4):223-5.
We report the case of a 73 year old man presenting with severe hypoxaemia due to an anatomical right to left shunt from a persistent left superior vena cava (VCSG) anastomosing with the left auricle. This was fortuitously discovered while placing a left sub clavicular catheter; the diagnosis of the VCSG draining into the left auricle was confirmed by superior phlebography and CT scanning. The discovery of this shunt after a pulmonary embolus suggested to us that the rise in venous pressure secondary to the embolus led to both clinical symptoms and hypoxaemia from the shunt, which had until then been clinically silent. No surgical treatment was performed.
我们报告了一例73岁男性患者的病例，该患者因持续性左上腔静脉（VCSG）与左心耳吻合导致解剖学上的右向左分流而出现严重低氧血症。这是在放置左锁骨下导管时偶然发现的；通过上腔静脉造影和CT扫描证实了VCSG引流至左心耳的诊断。在肺栓塞后发现这种分流提示我们，栓塞继发的静脉压升高导致了临床症状和分流引起的低氧血症，在此之前该分流在临床上一直未被察觉。未进行手术治疗。
