PDF(Pubmed)
Abstract：
A 46-year-old woman was admitted to the cardiovascular department because of a 3-month history of palpitations and exertional dyspnea. She had a history of a successful pregnancy at a very young age. The chest radiograph presented a \"calabash\" configuration. Echocardiogram discovered a large atrial septal defect with a suspected pulmonary vein abnormality. Cardiac CT revealed supracardiac total anomalous pulmonary venous return, whereby, all the pulmonary veins drain into a vertical vein and, finally, to the superior vena cava. Cardiac catheterization was consistent with anomalous pulmonary venous drainage without pulmonary hypertension. Finally, she underwent a successful surgical repair and appeared asymptomatic before her discharge.
摘要：
一名46岁的妇女因心悸和劳力性呼吸困难3个月的病史而入院。她在很小的时候就有成功怀孕的历史。胸部X光片显示“葫芦”构型。超声心动图发现大的房间隔缺损，疑似肺静脉异常。心脏CT显示心上完全肺静脉回流异常，据此，所有的肺静脉都流入垂直静脉，最后,上腔静脉.心导管插入术与肺静脉异位引流一致，无肺动脉高压。最后,她接受了成功的手术修复，出院前无症状。
