Mollica N
Divisione di Cardiologia, Ospedale Pediatrico Giovanni XXIII, USL BA/11, Bari.
Minerva Cardioangiol. 1994 Dec;42(12):591-4.
The author reports a case of total anomalous pulmonary venous drainage in a coronary sinus diagnosed using mono- and bidimensional ECG. ECG showed right ventricular strain, the reduced dimension of the left cavities, an echo-free space behind the left atrium referable to the venous collector tubule and a dilated coronary sinus. When ECG data were evaluated in the clinical context total anomalous pulmonary venous drainage in a coronary sinus was diagnosed and subsequently confirmed by intraoperative findings. The author underlines the value of ECG examination and in particular bi-dimensional ECG in the non-invasive diagnosis and pre- and postoperative evaluation of total anomalous pulmonary venous drainage in a coronary sinus in a neonate.
作者报告了一例通过单维和二维心电图诊断出的冠状静脉窦型完全性肺静脉异位引流病例。心电图显示右心室劳损、左心腔尺寸减小、左心房后方无回声区（提示静脉收集小管）以及冠状静脉窦扩张。当结合临床情况评估心电图数据时，诊断出冠状静脉窦型完全性肺静脉异位引流，随后术中发现证实了这一诊断。作者强调了心电图检查，尤其是二维心电图在新生儿冠状静脉窦型完全性肺静脉异位引流的无创诊断及术前和术后评估中的价值。
