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[一种罕见的缺氧原因:右上腔静脉与左心房吻合。手术矫正]

[An unusual cause of hypoxia: anastomosis of the right superior vena cava into the left auricle. Surgical correction].

作者信息

Mornex J F, Brune J, Termet H, Bruyère B, Zhang H F

出版信息

Rev Fr Mal Respir. 1983;11(2):149-55.

PMID:6856941
Abstract

Anomalies of drainage of the superior vena cava (S.V.C.) usually consists of a persistent left S.V.C. draining into the left auricle. Until now there has only been one published case of S.V.C. anastomosis with the left auricle. We describe a second case of a four year old boy who had undergone two operations for a recurrent cerebral abscess. This child presented with cyanosis, polycythaemia and arterial hypoxaemia. This abnormality is associated with a partially anomalous pulmonary venous drainage. Surgical correction using prosthetic and pericardial grafts enabled closure of the right to left shunt.

摘要

上腔静脉(S.V.C.)引流异常通常包括持续存在的左S.V.C.引流至左心房。到目前为止,仅有一例关于S.V.C.与左心房吻合的病例报道。我们描述了第二例病例,是一名4岁男孩,因复发性脑脓肿接受了两次手术。该患儿出现了紫绀、红细胞增多症和动脉血氧不足。这种异常与部分性肺静脉引流异常有关。使用人工血管和心包移植物进行手术矫正,成功闭合了右向左分流。

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