腔静脉畸形的外科意义及手术治疗

Surgical Implication and Correction of Anomalous Vena Cava

本文报告先天性腔静脉畸形５３例。双上腔静脉畸形，左上腔静脉引流入冠状静脉窦４５例，对血流动力学无影响，术中仅４例作了插管引流，余仅在术中暂时阻闭了左上腔静脉。本文重点报道８例少见腔静脉畸形，包括右上腔静脉缺如（１例），左上腔静脉引流入右房顶（１例），引流入左房顶（２例），引流入冠状静脉窦并与左房交通（１例）；下腔静脉引流入左房（１例）；上腔和下腔静脉分别引流入左房（１例）；以及全部体静脉分别引流入左房（１例）。此８例的畸形矫治均较顺利。本文对少见腔静脉畸形的临床特征，诊断方法，手术矫治的要点和注意事项进行了较详细探讨。

Fifty three cases of congenital anomalous vena cava are reported. Double anomalous superior vena cava (SVC) and left SVC draining into coronary sinus (CS) not interfered with henodynamics in 45 cases are included in this series. Left SVC (LSVC) was vented for 4 cases. LSVC in the remains was clamped only during the operations. We preferably recommended the other rare anomalous VC in 8 cases including absence of right SVC (1case),LSVC draining into the top of right atrium (1) , LSVC draining into the top of left atrium (2) , LSVC draining into CS and communicated with left atrium (1) . inferior vena cava (IVC) draing into left atrium (1),LSVC and IVC draining into left atrium respectively (1) and double SVC, IVC , left and right hepatic vein all cleaning into left atrium (1) , All of them were associated with intracardiac anomalies. The surgical management of anomalous VC in this group was successful. Clinical characteristics, diagnostic technrque, surgical key points and precautions are briefly discussed.