Complex Supracardiac Total Anomalous Pulmonary Venous Connection-A Case Report

複雜的心上型全肺靜脈回流異常－一個病例報告

鄭崑山(Kun-Shan Cheng) ； 陳銘仁(Ming-Ren Chen)

《Acta Cardiologica Sinica》 21卷3期 (2005/09) Pp. 169-172

摘要

我們發表一位四個月大的小女孩，經由心導管檢查證實其患有複雜的心上型全肺靜脈回流異常。她的右肺靜脈注入左無名靜脈，然後回流至右上腔靜脈；而其左肺靜脈則注入奇靜脈系統最後回流至右上腔靜脈。除了心房中隔缺損及開放性動脈導管之外，小女孩並無其他重大心臟構造上的異常。文獻上雖有其他稀有的混合型全肺靜脈回流異常發表；但就我們所知，此位小女孩的患病型態應未有他人描述過相同的類型。

關鍵字

全肺靜脈回流異常 ； 心上型 ； 混合型

並列摘要

We present the case of a 4-month-old female who had complex supracardiac total anomalous pulmonary venous connection, diagnosed by catheterization. Her right pulmonary veins drained into the left brachiocephalic vein and then into the superior vena cava. The left pulmonary veins drained into the hemiazygous and azygous veins and eventually into the superior vena cava. She had no other major structural abnormalities except for a secundum-type atrial septal defect and patent ductus arteriosus. Although several rare mixed types of total pulmonary venous connection have been reported in the literature, to our knowledge, the anomaly our patient had has not been described previously.

並列關鍵字

Total anomalous pulmonary venous connection ； Supracardiac ； Mixed type