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[肺静脉异常连接罕见变异导致肺栓塞的表现改变]

[Modified presentation of a lung embolism by a rare variant of pulmonary vein anomalous connection].

作者信息

Hünerbein M, Huch K, Brado M, Otto G

机构信息

Chirurgische Klinik und Poliklinik, Universität Heidelberg.

出版信息

Chirurg. 1993 Dec;64(12):1053-5.

PMID:8119093
Abstract

Partial anomalous pulmonary venous return of the left lung is an extremely rare cardiovascular abnormality. Mostly, this rare entity is found incidentally when patients undergo angiography of the pulmonary artery because of suspected pulmonary embolism. In this case hemodynamic data obtained by a swan ganz catheter suggested a cardiovascular abnormality presenting as left-right shunt. Surgical therapy of anomalous venous return of the left lung is only required if volume overload of the left ventricle occurs.

摘要

左肺部分性肺静脉异位回流是一种极其罕见的心血管异常。大多数情况下,这种罕见情况是在患者因疑似肺栓塞接受肺动脉造影时偶然发现的。在该病例中,经 Swan-Ganz 导管获得的血流动力学数据提示存在一种表现为左右分流的心血管异常。仅在左心室出现容量超负荷时才需要对左肺静脉异位回流进行手术治疗。

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