Oda K, Ando F, Okamoto F, Ikeda T, Yamanaka I, Otani S, Nakajima Y, Makino S, Takechi T, Murakami Y
Department of Cardiovascular Surgery, Amagasaki Hospital, Japan.
Kyobu Geka. 1993 Jun;46(6):533-5.
A rare case with partial anomalous pulmonary venous return was presented. The left superior pulmonary vein was drained into the left innominate vein via a common vertical vein and it also communicated with the left atrium via a small aberrant vein. All the other pulmonary veins were normally drained into the left atrium. The surgical repair was performed through the midline sternotomy. The junction of the vertical vein and the left innominate vein was ligated with slight elevation of the pressure in the left pulmonary vein. Under the cardiopulmonary bypass, the secundum atrial septal defect was closed by direct sutures. The postoperative course was uneventful and there was no pulmonary congestion in the left upper lung field.
报告了一例部分性肺静脉异位引流的罕见病例。左上肺静脉通过一条共同垂直静脉引流至左无名静脉,并且还通过一条小的异常静脉与左心房相通。所有其他肺静脉均正常引流至左心房。通过正中胸骨切开术进行手术修复。在左肺静脉压力略有升高的情况下结扎垂直静脉与左无名静脉的连接处。在体外循环下,通过直接缝合关闭继发孔房间隔缺损。术后过程顺利,左上肺野无肺淤血。