部分型肺静脉畸形异位引流介入治疗1例

发布时间：2018-05-18 04:40

  本文选题：部分型肺静脉异位引流 + 先天性心血管疾病　； 参考：《介入放射学杂志》2017年12期

【摘要】：正临床资料患者女,55岁。主因间歇胸闷,胸痛,呼吸困难,向右后背放射1年,加重2个月,伴剑突下憋胀而就诊,门诊查CTA示左肺上静脉异位引流至左侧无名静脉,右心增大;部分型肺静脉异位引流症(图1)。入院后检查:心界略大,各瓣膜听诊区未闻及杂音。彩超示:左室舒张功能减低(Ⅲ度),二尖瓣中度反流,无房间隔缺损。DSA造影(图2),经右股静脉穿刺,猪尾导管配合超滑导丝经下腔静脉、上腔静脉至左无名
[Abstract]:The patient was 55 years old. The main causes were intermittent chest tightness, chest pain, dyspnea, radiating to the right back for 1 year, aggravating for 2 months, and accompanied by distension under the xiphoid process. Outpatient CTA showed that the left superior pulmonary vein was ectopic drainage to the left unnamed vein, and the right heart was enlarged. Partial pulmonary venous ectopic drainage (Fig. 1). After admission examination: the cardiac boundary is slightly larger, each valve auscultation area does not hear and murmur. Color Doppler ultrasonography: left ventricular diastolic dysfunction (鈪，

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