室间隔缺损合并下腔静脉全身静脉连接异常矫治临床一例

K. Kuatbekov, A. Egizekov, A. V. Mishin, D.T. Musagaliev, N. Baizhigitov, B. Suieubekov, T.E. Botabekov
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引用次数: 0

摘要

下腔静脉中断是一种罕见的疾病,既可以单独发生,也可以与发育不全或多晶体综合征合并发生。系统静脉的异常发育与心房位置密切相关。左心瓣膜有腹部脏器倒置的征象,称为内脏位置。本文报告一例婴幼儿大面积室间隔缺损合并下腔静脉中断并脏器位置不明确异位的奇异延续的临床病例。术中进行缺损成形术,正确选择上静脉系统经右心房耳廓、下静脉系统经单独肝静脉插管引流的方法,完成人工循环所需的全静脉插管,取得了良好的临床效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLINICAL CASE OF CORRECTION OF VENTRICULAR SEPTAL DEFECT COMBINED WITH AN ANOMALY OF THE SYSTEMIC VENOUS CONNECTION OF THE INFERIOR VENA CAVA
Interrupted inferior vena cava is a rare condition that can occur either in isolation or in combination with asplasia or polysplasia syndromes. Abnormal development of systemic veins is closely related to atrial situs. In levocardia, there are signs of abdominal organ inversion, which is called visceral situs. The present paper describes a clinical case of a infant with a large interventricular septal defect combined with interrupted inferior vena cava with azygous continuation of visceral situs ambiguous heterotaxy. The defect plasty was performed at the operation, and the complete venous cannulation required for artificial circulation was performed by the correctly chosen method of drainage of the superior venous system - through the auricle of the right atrium and the inferior venous system - through a separate hepatic vein cannulation, with a good clinical result.
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