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视频辅助胸腔镜辅助治疗左侧部分性肺静脉异位连接:1 例报告。

Video assisted thorascopic assisted correction of left partial anomalous pulmonary venous connection: one case report.

机构信息

Department of Thoracic and Cardiovascular Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, P.R. China.

出版信息

J Cardiothorac Surg. 2024 Jan 23;19(1):18. doi: 10.1186/s13019-024-02501-8.

Abstract

INTRODUCTION

The left partial anomalous pulmonary vein connection is a rare congenital heart disease, especially with intact atrial septum. Now we reported a case of the left superior pulmonary vein drainage to left innominate vein through a vertical vein, and corrected with video assisted thoracoscopy.

CASE PRESENTATION

A-59-years old man diagnosed left anomalous partial pulmonary vein connection with presentation of short breathiness and palpation, and diagnosed with computer tomography pulmonary angiography. The operation was carried out under video assisted thoracoscopy with one manipulation incision and one observational incision, the vertical vein was dissected and anastomosis with left atrial appendage. The patients recovered smoothly and postoperative CTPA showed anastomosis ostium was unobstructed.

CONCLUSION

The left lateral thoracotomy and video assisted thoracoscopic surgery is a feasible for correction of left PAPVC with intact interatrial septum without using CPB.

摘要

介绍

左部分性肺静脉异常连接是一种罕见的先天性心脏病,尤其是在房间隔完整的情况下。现在我们报告了一例左上肺静脉通过垂直静脉引流至无名静脉的病例,并通过胸腔镜辅助手术进行了矫正。

病例介绍

一位 59 岁男性,因呼吸急促和触诊而被诊断为左部分性肺静脉异常连接,计算机断层肺动脉造影术(CTPA)确诊。手术在胸腔镜辅助下进行,采用一个操作切口和一个观察切口,解剖垂直静脉并与左心耳吻合。患者恢复顺利,术后 CTPA 显示吻合口通畅。

结论

左侧开胸和胸腔镜辅助手术是一种可行的方法,可用于矫正房间隔完整的左部分性肺静脉异常连接,无需使用体外循环(CPB)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8865/10804624/24045f82287b/13019_2024_2501_Fig1_HTML.jpg

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