Total anomalous pulmonary vein drainage in an adult diagnosed by helical computed tomography.
Total anomalous pulmonary vein drainage in an adult diagnosed by helical computed tomography.
复制标题
通过螺旋计算机断层扫描诊断的成人完全性肺静脉引流异常。
DOI：
10.2169/internalmedicine.36.912
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发表时间：
1997
影响因子：
1.2
通讯作者：
Y. Watanabe
中科院分区：
文献类型：
--
作者：
H. Shinozaki;K. Shimizu;H. Anno;M. Kinoshita;E. Ishikawa;H. Naruse;A. Matsuba;M. Sarai;M. Tokuda;J. Wang;H. Kurokawa;T. Kondo;H. Hishida;Y. Watanabe
一名41岁男性以心房扑动引起心悸主诉来我院就诊。最终经螺旋CT诊断为肺静脉全异常引流。这种情况非常罕见，因为直到41岁才出现症状。没有肺动脉狭窄，房间隔缺损的存在提供了足够的右至左分流流来维持左心室的输出，这是解释症状缺乏和对日常生活影响很小的一些原因。螺旋CT，尤其是三维成像，在诊断本例复杂的心血管变形时非常有用。
A 41-year-old man visited our hospital with the complaint of palpitation by atrial flutter. He was finally diagnosed as total anomalous pulmonary vein drainage by helical computed tomography (CT). This case is very unusual due to the lack of symptoms until the age of 41. The absence of pulmonary artery stenosis, and the presence of atrial septal defect providing sufficient right to left shunt flow to maintain the output of left ventricle are some of the reasons to explain the lack of symptoms and very slight impact on daily life. Helical CT, in particular 3-dimensional imaging, is very useful in diagnosing complicated cardiovascular deformation as in this case.