异位症的胸导管引流模式。

IF 4.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Daniel A Castellanos, Emily M Bucholz, Katherine Bai, Jesse J Esch, David Hoganson, Stephen P Sanders, Raja Shaikh, Sunil J Ghelani, David N Schidlow
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引用次数: 0

摘要

背景:淋巴引流障碍在先天性心脏病(CHD)中很常见,但尚未详细描述胸导管(TD)异位的引流模式。本研究试图描述异位症的末端 TD 侧向性及其与其他解剖变量的关联:这是一项回顾性单中心研究,研究对象为2019年7月1日至2023年5月15日期间在单中心接受心血管磁共振成像检查的异位患者。研究纳入了(1)asplenia(右侧异位)、(2)polysplenia(左侧异位)和(3)pulmonary/abdominal situs inversus (PASI)加CHD的患者。终末 TD 侧位分为左侧、右侧或双侧:结果:在 115 名符合条件的患者中,56 人(49%)的终末 TD 可视化。25 例患者的终末 TD 为左侧,29 例为右侧,2 例为双侧。单变量分析显示,终末 TD 侧位与心房位置(p = 0.006)、腹部位置(p = 0.042)、异位类型(p = 0.036)、是否存在肺梗阻(p = 0.041)、上腔静脉侧位(p = 0.005)和弓侧位(p < 0.001)相关。在多变量分析中,只有上腔静脉和主动脉弓侧位与终末 TD 侧位独立相关:结论:异位患者的终末 TD 侧度变化很大。结论:异位患者的终末 TD 侧度变化很大,上腔静脉和主动脉弓侧度与终末 TD 侧度独立相关。异位类型与终末 TD 侧度无独立关联。这些数据加深了人们对异位患者解剖变异的了解,可能有助于制定淋巴干预计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thoracic duct drainage patterns in heterotaxy.

Background: Disordered lymphatic drainage is common in congenital heart diseases (CHD), but thoracic duct (TD) drainage patterns in heterotaxy have not been described in detail. This study sought to describe terminal TD sidedness in heterotaxy and its associations with other anatomic variables.

Methods: This was a retrospective, single-center study of patients with heterotaxy who underwent cardiovascular magnetic resonance imaging at a single center between July 1, 2019 and May 15, 2023. Patients with (1) asplenia (right isomerism), (2) polysplenia (left isomerism) and (3) pulmonary/abdominal situs inversus (PASI) plus CHD were included. Terminal TD sidedness was described as left-sided, right-sided, or bilateral.

Results: Of 115 eligible patients, the terminal TD was visualized in 56 (49 %). The terminal TD was left-sided in 25 patients, right-sided in 29, and bilateral in two. On univariate analysis, terminal TD sidedness was associated with atrial situs (p = 0.006), abdominal situs (p = 0.042), type of heterotaxy (p = 0.036), the presence of pulmonary obstruction (p = 0.041), superior vena cava sidedness (p = 0.005), and arch sidedness (p < 0.001). On multivariable analysis, only superior vena cava and aortic arch sidedness were independently associated with terminal TD sidedness.

Conclusions: Terminal TD sidedness is highly variable in patients with heterotaxy. Superior vena cava and arch sidedness are independently associated with terminal TD sidedness. Type of heterotaxy was not independently associated with terminal TD sidedness. This data improves the understanding of anatomic variation in patients with heterotaxy and may be useful for planning for lymphatic interventions.

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来源期刊
CiteScore
10.90
自引率
12.50%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Journal of Cardiovascular Magnetic Resonance (JCMR) publishes high-quality articles on all aspects of basic, translational and clinical research on the design, development, manufacture, and evaluation of cardiovascular magnetic resonance (CMR) methods applied to the cardiovascular system. Topical areas include, but are not limited to: New applications of magnetic resonance to improve the diagnostic strategies, risk stratification, characterization and management of diseases affecting the cardiovascular system. New methods to enhance or accelerate image acquisition and data analysis. Results of multicenter, or larger single-center studies that provide insight into the utility of CMR. Basic biological perceptions derived by CMR methods.
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