体静脉连接异常的心血管造影诊断

The diagnosis of systemic venous anomaly with angiography

目的评价心血管造影对体静脉连接异常的诊断价值。方法回顾分析371例经手术证实的体静脉连接异常患儿的心血管造影。结果左上腔静脉残存共190例,其中左上腔静脉回流入冠状窦171例,左上腔静脉回流入左房9例,左上腔静脉经无顶冠状窦回流入左房10例;右上腔静脉缺如3例;下腔静脉异常连接42例,其中40例为下腔静脉中断伴奇静脉回流,1例为下腔静脉回流入左房,1例为双下腔静脉。无名静脉异常共136例。结论体静脉连接异常在先天性心脏病的患者中并不少见,先心病术前通过心血管造影了解体静脉的连接关系对手术有重要的指导意义。

Objective To evaluate the angiographic diagnosis of systemic venous anomaly. Methods Three hundred and seventy one cases of systemic venous anomaly underwent angiographic procedure and were all confirmed surgically were analized retrospectively. Results Among the 190 eases of persistent left superior vena cava （LSVC）, 171 cases drained to coronary sinus（CS）, 9 cases to left atrium, 10 cases through roofless coronary sinus to left atrium and 3 cases had no concurrent right superior vena cave. Of 41 cases of anomalous inferior vena cava（ IVC）, 39 cases presented with interruption of IVC accompanied by azygos vein drainage, 1 with IVC draining to left atrium, 1 with IVC duplication. And 136 cases presented with abnormal course of innominate vein. Conclusions The prevalence of systemic venous anomaly is commonly seen in congenital cardiac abnormalities. Pre-operation angiography provides not only the correct diagnosis but also meaningful guidance in detail for surgical operation. （J Intervent Radiol, 2005,14 ： 352-354. ）