识别全身静脉引流异常:全身静脉异常;心房形态。

IF 1.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Madan M Maddali, Hamood N Al Kindi, Pranav Subbaraya Kandachar, Abdulla Al Farqani, Khalid S Al Alawi, Faiza Al Kindi, Salim Nasser Al-Maskari, Diane E Spicer, Robert Henry Anderson
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引用次数: 0

摘要

为了产生完全异常的全身静脉连接,所有的全身静脉支流以及冠状窦都应该与形态上的左心房相连。以前对这种罕见的心脏全身静脉支流异常连接的描述,由于包含了具有异构心房附属物的个体而受到影响。在这些情况下,最常见的是全身静脉连接完全异常或几乎完全异常与窦静脉缺损有关。异常的肺静脉连接会形成静脉桥,使全身静脉支流排入形态学上的左心房,尽管它们可能主要连接右心房。更罕见的情况是,原发性房间隔的发育使全身静脉窦与形态学上的左心房而非右心房直接相连。我们报告了一系列可能属于全身静脉连接异常的患者。研究结果显示了从部分异常连接到完全异常连接的不同范围,其中一些可以根据异常引流进行更好的解释。然而,在我们的病例中,有一例因原发性房间隔位置异常而导致全身静脉连接完全异常的尸检病例。我们讨论了这一发现的潜在形态发生机制。我们强调需要区分异常的全身静脉连接和异常的全身静脉引流。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying Anomalies of Systemic Venous Drainage: Systemic Venous Anomalies; Atrial Morphology.

So as to produce totally anomalous systemic venous connection, all of the systemic venous tributaries, along with the coronary sinus, should be connected with the morphologically left atrium. Previous descriptions of this rare constellation of anomalous connections of the systemic venous tributaries of the heart have been compromised by the inclusion of individuals having isomeric atrial appendages. In these settings, most frequently, the totally, or almost totally, anomalous systemic venous connections are associated with a sinus venosus defect. It is the anomalous pulmonary venous connections that then create a venovenous bridge, which permits the systemic venous tributaries to drain into the morphologically left atrium, even though they may be predominantly connected to the right atrium. More rarely, it is feasible for the primary atrial septum to develop so as to leave the systemic venous sinus in direct connection with the body of the morphologically left, rather than the morphologically right, atrium. We report a series of patients potentially falling into the category of anomalous systemic venous connections. The findings show a spectrum from partially to totally anomalous connections, with some better interpreted on the basis of anomalous drainage. Included in our cases, nonetheless, is an autopsied example of totally anomalous systemic venous connection produced by an abnormal location of the primary atrial septum. We discuss the potential morphogenesis for this finding. We emphasize the distinction that needs to be made between anomalous systemic venous connections and anomalous systemic venous drainage.

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来源期刊
CiteScore
1.80
自引率
11.10%
发文量
128
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