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持续性左上腔静脉合并下腔静脉缺如/异常,奇静脉半奇静脉连接,房室结折返性心动过速的射频导管消融治疗。

RF catheter ablation of AVNRT in a patient with interrupted inferior vena cava anomaly with hemiazygos continuity with persistent left superior vena cava.

机构信息

Department of Cardiology, School of Medicine, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.

Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Cardiothorac Surg. 2024 Jul 15;19(1):447. doi: 10.1186/s13019-024-02899-1.

Abstract

Intrahepatic interruption of the inferior vena cava (IVC) with continued hemizygous is a very rare abnormality and sometimes it may be accompanied by other cardiovascular abnormalities. Continuation of the hemizygous vein draining into the right atrium through the left superior vena cava (LSVC) is much rarer. In this paper, we have presented a patient who had simultaneous IVC interrupted with persistent LSVC and suffered from Atrioventricular nodal reentrant tachycardia (AVNRT). Finally, radiofrequencies (RF) catheter ablation for AVNRT was successfully performed through a left subclavian vein access.

摘要

肝内下腔静脉(IVC)中断伴持续半合子是一种非常罕见的异常,有时可能伴有其他心血管异常。通过左上腔静脉(LSVC)将半合子静脉引流至右心房的情况更为罕见。本文报道了 1 例同时存在 IVC 中断伴持续性 LSVC 的患者,该患者患有房室结折返性心动过速(AVNRT)。最终,通过左锁骨下静脉入路成功进行了射频(RF)导管消融治疗 AVNRT。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/9f891343d944/13019_2024_2899_Fig1_HTML.jpg

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