永存左上腔患者起搏导线植入路径探讨:附28例分析

• 作 者: 胡芬 周颖 潘轶文 许逸飞 徐耕
• 机 构: 浙江大学医学院附属第二医院心内科,浙江省平湖市第一人民医院心内科,浙江绿城心血管病医院心内科,浙江省中医药大学附属第一医院心内科,
• 出 处: 临床心血管病杂志
• 发表日期: 2016年07期
• 关键词: 起搏导线 永存左上腔静脉 主动导线 冠状静脉窦 右锁骨下静脉 左锁骨下静脉 缺如 右室心尖部 交通支 导引钢丝

永存左上腔静脉(persistent left superior vena cava,PLSVC)在正常人群中发病率为0.3%~0.5%,其中约12%的人群合并其他心血管异常[1-2]。最常见PLSVC为PLSVC直接流入冠状静脉窦,开口于右房,占PLSVC的80%~92%[1,3]。文献对PLSVC有多种分型报道[1,4-5]。但根据PLSVC流入心脏部位的不同,常见的为4种类型:Ⅰ型PLSVC流入冠状静脉窦,右上腔静脉缺如;Ⅱ型PLSVC左右上腔静脉均存在,两者之间不存在交通支;Ⅲ型PLSVC左

The incidence of persistent left superior vena cava (PLSVC) in the normal population is 0.3% to 0.5%, of whom about 12% have other cardiovascular abnormalities [1-2]. The most common PLSVC PLSVC directly into the coronary sinus, opening in the right atrium, accounting for 80% to 92% of PLSVC [1,3]. The literature has a variety of subtypes of PLSVC reported [1,4-5]. However, according to the PLSVC into the heart of different parts of the common four types: type Ⅰ PLSVC flow into the coronary sinus, right superior vena cava missing; type Ⅱ PLSVC left and right superior vena cava there, there is no traffic branch between the two; Ⅲ Type PLSVC left