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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.

DOI:10.1186/s13019-024-02899-1
PMID:39004768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11247846/
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/ecb7/11247846/80dd935b6d6d/13019_2024_2899_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/9f891343d944/13019_2024_2899_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/57d89128b097/13019_2024_2899_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/1102ab1cbbfc/13019_2024_2899_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/9f04834fa994/13019_2024_2899_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/cce9b90a9bcf/13019_2024_2899_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/80dd935b6d6d/13019_2024_2899_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/9f891343d944/13019_2024_2899_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/57d89128b097/13019_2024_2899_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/1102ab1cbbfc/13019_2024_2899_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/9f04834fa994/13019_2024_2899_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/cce9b90a9bcf/13019_2024_2899_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecb7/11247846/80dd935b6d6d/13019_2024_2899_Fig3_HTML.jpg

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本文引用的文献

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Supraventricular tachyarrhythmias in patients with a persistent left superior vena cava.永存左上腔静脉患者的上腔性心动过速。
Europace. 2018 Jul 1;20(7):1168-1174. doi: 10.1093/europace/eux164.
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The incidental finding of a persistent left superior vena cava: implications for primary care providers-case and review.持续性左上腔静脉的偶然发现：对初级保健提供者的影响——病例及综述
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Right nutcracker syndrome associated with left-sided inferior vena cava, hemiazygos continuation and persistant left superior vena cava: a rare combination.
右侧胡桃夹综合征合并左侧下腔静脉、半奇静脉延续及永存左上腔静脉：一种罕见的组合。
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Prenatal and postnatal imaging in isolated interruption of the inferior vena cava with azygos continuation.孤立性下腔静脉中断伴奇静脉延续的产前和产后影像学表现
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Azygos continuation of interrupted inferior vena cava in association with sick sinus syndrome.中断性下腔静脉奇静脉延续并伴有病态窦房结综合征。
Heart. 2005 Apr;91(4):e26. doi: 10.1136/hrt.2004.049866.
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Interruption of the inferior vena cava with azygos/hemiazygos continuation accompanied by distinct renal vein anomalies: MRA and CT assessment.奇静脉/半奇静脉延续伴明显肾静脉异常的下腔静脉中断：磁共振血管造影和CT评估
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Congenital anomalies of the venae cavae: embryological origin, imaging features and report of three new variants.腔静脉先天性异常：胚胎学起源、影像学特征及三个新变异型报告
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