https://scholars.lib.ntu.edu.tw/handle/123456789/538494
標題: | Pulmonary vein atresia with Shone's anomaly in an infant: A case report | 作者: | Cheng C.-F. JOU-KOU WANG MEI-HWAN WU |
公開日期: | 1999 | 卷: | 54 | 期: | 5 | 起(迄)頁: | 287-290 | 來源出版物: | Acta Cardiologica | 摘要: | We report a case of individual pulmonary vein atresia associated with multiple levels of left heart obstruction, including aortic coarctation, valvular aortic stenosis, and parachute mitral valves with stenosis. The diagnosis of pulmonary vein obstruction is likely to be missed in patients who also have other left heart obstructive diseases, since the latter usually dominates the clinical presentation. We diagnosed the existence of individual pulmonary vein atresia preoperatively via cardiac catheterization. The pulmonary artery angiograms revealed back and forth motion of the dye with no visualization of either a capillary or venous phase on the lesion side. The pulmonary capillary wedge pressure was unevenly elevated and highest on the lesion side. The results were later confirmed by operation and autopsy. Thus, selective pulmonary artery catheterization and angiography remains a good diagnostic tool to rule out the existence of pulmonary vein obstruction in cases which have multiple levels of left heart obstruction. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0032744233&partnerID=40&md5=71f69a22a496b39e656fd57901b06af1 https://scholars.lib.ntu.edu.tw/handle/123456789/538494 |
ISSN: | 0001-5385 | SDG/關鍵字: | angiography; aorta coarctation; aorta valve stenosis; article; atresia; autopsy; case report; clinical feature; congenital heart malformation; heart catheterization; human; infant; lung capillary pressure; male; mitral valve stenosis; pulmonary vein malformation; Aortic Coarctation; Aortic Valve Stenosis; Autopsy; Cardiac Surgical Procedures; Coronary Angiography; Fatal Outcome; Heart Defects, Congenital; Humans; Infant; Male; Mitral Valve; Phlebography; Pulmonary Veins |
顯示於: | 醫學系 |
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