先天性心脏病经特殊途径封堵并发下腔静脉异位引流  

Transcatheter closure through special approach treats inferior vena cava drainage in congenital heart disease

作　　者：孙琦[1] 徐健[1] 何浩[1] 苏浩[1] 黄向阳[2] 袁奇[2] 杨冬妹[2] 

机构地区：[1]安徽省立医院心内科,合肥230001 [2]安徽省立医院超声室

出　　处：《临床心血管病杂志》2013年第1期78-79,共2页Journal of Clinical Cardiology

摘　　要：先天性心脏病并发下腔静脉异位引流发病率低,是罕见的先天性心脏血管畸形,需要选择特殊路径建立轨道,增加了介入封堵术的难度及风险。我院2000年开展先天性心脏病介入封堵术,总计发现3例并发下腔静脉异位引流的患者,其中2例成功行介入封堵术,1例放弃介入手术。我们总结经验及体会,探讨经特殊途径行介入封堵术的可行性及安全性。We explore the practicality and security of transcatheter closure through jugular vein or subcalavian vein in three patients with congenital heart disease accompanied with special inferior vena cava in our hospital since 2000.One patient with PDA was treated through right subcalavian vein.The second patient of VSD with residual shunt was treated through right internal jugular vein.The third patient with ASD and PDA gave up transcatheter closure.The devices were successfully placed in two patients.There was no residual shunt by angiocardiography and echocardiography.No complications was observed in the patient with PDA,and the mechanical hemolytic was observed,but cured in the VSD patient.It was feasible and safety that transcatheter closure through jugular vein or subclavian vein treated special inferior vena cava drainage in congenital heart disease.

关 键 词：先天性心脏病 封堵术 异位引流 下腔静脉 

分 类 号：R541.1[医药卫生—心血管疾病]