Park Soo Jin, Jung Sung-Ho
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Seoul, Korea.
Ann Thorac Surg Short Rep. 2022 Oct 13;1(1):81-84. doi: 10.1016/j.atssr.2022.10.003. eCollection 2023 Mar.
Anomalous hepatic venous connection without other cardiac anomalies is a rare condition but does not have high clinical significance. We describe a patient in whom a portion of the left hepatic vein was directly connected to the left atrium, without intracardiac or extracardiac anomalies. A left-to-right shunt with tricuspid regurgitation and atrial fibrillation occurred from right atrial volume overload. Shunt ligation with tricuspid valvuloplasty and a maze procedure were performed as a treatment. This report is meaningful because we describe a case of increased preload caused by a chronic left atrium-hepatic vein shunt that resulted in right-sided heart failure.
无其他心脏异常的异常肝静脉连接是一种罕见情况，但临床意义不大。我们描述了一名患者，其左肝静脉的一部分直接与左心房相连，无心脏内或心脏外异常。由于右心房容量超负荷，出现了伴有三尖瓣反流和心房颤动的左向右分流。作为治疗手段，进行了分流结扎术、三尖瓣成形术和迷宫手术。本报告具有意义，因为我们描述了一例由慢性左心房-肝静脉分流导致前负荷增加并引起右侧心力衰竭的病例。
