超声心动图诊断右上肺静脉双连接的部分型肺静脉异位引流1例  

Echocardiographic diagnosis of partial pulmonary venous ectopic drainage with double connections of the right upper pulmonary vein:a case report

作　　者：冯凡 刘丽文 马慧 Feng Fan;Liu Liwen;Ma Hui(Department of Ultrasound Medicine,the First Affiliated Hospital of Air Force Medical University,Xi'an 710032,China;Department of Ultrasound Medicine,Ankang Central Hospital,Ankang 725000,China)

机构地区：[1]空军军医大学第一附属医院超声医学科,西安710032 [2]安康市中心医院超声医学科,安康725000

出　　处：《中华超声影像学杂志》2025年第1期46-48,共3页Chinese Journal of Ultrasonography

摘　　要：部分型肺静脉异位引流(PAPVC)是指至少1支肺静脉血流未回流入左心房,而引流入体循环静脉系统或直接流入右心房的先天性心脏病,较为罕见。本病例为1例51岁中老年女性患者,因心前区不适在空军军医大学第一附属医院经超声心动图诊断为右上肺静脉双连接的PAPVC,经外科手术后,患者症状缓解,心脏结构功能逐渐改善。笔者通过对该病例的认识,结合既往文献,对此疾病的病理生理、超声诊断特征等进行分析,旨在提醒超声医师重视肺静脉异位引流疾病的排查,有效提高对PAPVC的诊断,从而有效降低漏诊率。Partial anomalous pulmonary venous connection(PAPVC)is a rare congenital heart disease in which at least one pulmonary vein does not flow back into the left atrium,but drains into the systemic circulatory venous system or directly into the right atrium.In this article,a 51-year-old female patient was diagnosed as special abnormal pulmonary vein drainage after undergoing echocardiography due to discomfort in the precardiac area,the right superior pulmonary vein was connected to the superior vena cava and the right atrium at the same time.After surgery,the patient's symptoms was relieved and the cardiac structure and function gradually improved.Based on the understanding of this case,and combined with previous literature to analyze the pathophysiology and ultrasonic diagnostic characteristics of this disease,in order to improve the vigilance of examiners,encourage clinical sonographers to pay attention to echocardiology investigations of abnormal pulmonary vein drainage disease,and effectively improve the diagnosis of PAPVC,thereby effectively reduce the missed diagnosis rate.

关 键 词：超声心动描记术 肺静脉异位引流 右上肺静脉 上腔静脉 

分 类 号：R540.45[医药卫生—心血管疾病] R654.3[医药卫生—内科学]