Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Partial anomalous pulmonary venous return and atrial septal defect in adult patients detected with 128-slice multidetector computed tomography. | Kivistõ et al. Journal of Cardiothoracic Surgery 2011 6 126 http content 6 1 126 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Partial anomalous pulmonary venous return and atrial septal defect in adult patients detected with 128-slice multidetector computed tomography Sari Kivisto1 Helena Hanninen2 and Miia Holmstrom3 Abstract The present series describes a group of adults with left-to-right shunts including partial anomalous pulmonary venous return PAPVR and or an atrial septal defect ASD evaluated with ECG-gated 128-slice multidetector computed tomography MDCT . PAPVR is defined as a left-to-right shunt where one or more but not all pulmonary veins drain into a systemic vein or the right atrium. PAPVR involving the right upper pulmonary vein can be associated with a sinus venosus ASD. The presence course number of anomalous veins and associated cardiovascular defects can be reliably observed by 128-slice MDCT angiography. Keywords Partial anomalous pulmonary venous return PAPVR Atrial septal defect ASD Multidetector computed tomography MDCT Background Partial anomalous pulmonary venous return PAPVR is defined as a left-to-right shunt where one or more but not all pulmonary veins drain into a systemic vein or the right atrium. Anomalous right-sided pulmonary veins can drain into the superior vena cava SVC right atrium inferior vena cava azygos vein hepatic vein or portal vein. The connecting sites for anomalous left-sided pulmonary veins can be the left brachiocephalic vein coronary sinus and hemiazygos vein. PAPVR involving the right upper pulmonary vein can be associated with a sinus venosus atrial septal defect ASD located near the SVC orifice 1 . All PAPVRs are left-to-right shunts but unless more than 50 of the pulmonary flow drains to the right side of the heart clinical manifestations are rare. Dyspnea fatigue exercise intolerance palpitations syncope atrial arrhythmias right heart failure and pulmonary .
