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目的 探讨先天性肺静脉狭窄的诊断和治疗。方法 应用心导管和心血管造影、超声心动图及磁共振确定诊断。结果 5例中管状狭窄 4例 ,隔膜性狭窄 1例 ;5例狭窄部位均在肺静脉与左心房连接处。三支肺静脉狭窄 1例 ,二支肺静脉狭窄 2例 ,一支肺静脉狭窄 2例。合并其他先天性心脏病 4例。结论 早期发生原因难以解释的严重肺动脉高压的先天性心脏病 ,应考虑合并肺静脉狭窄。心导管和心血管造影及超声检查可明确诊断。外科手术疗效尚不满意 ,需继续研究探讨。
Objective To investigate the diagnosis and treatment of congenital pulmonary vein stenosis. Methods The application of cardiac catheterization and cardiovascular angiography, echocardiography and magnetic resonance imaging diagnosis. Results 5 cases of tubular stenosis in 4 cases, 1 case of septal stenosis; 5 cases of stenosis in the pulmonary vein and left atrium junction. Three cases of pulmonary vein stenosis in 1 case, 2 cases of pulmonary vein stenosis in 2 cases, 2 cases of pulmonary vein stenosis. Combined with other congenital heart disease in 4 cases. Conclusions Congenital heart disease with severe pulmonary hypertension, unexplained in the early stage, should be considered for pulmonary vein stenosis. Cardiac and cardiovascular angiography and ultrasound can confirm the diagnosis. Surgical efficacy is not satisfied, need to continue to study and explore.