检索结果-南通市图书馆

World Journal of Clinical Cases 2023年第32期11卷 7858-7864页

作者： Ze-Yu Mi Gang He Hong-Li Gao Chao Li Department of Cardiac Surgery Yongchuan Hospital of Chongqing Medical UniversityChongqing 402160China Department of Ultrasound Medicine Yongchuan Hospital of Chongqing Medical UniversityChongqing 402160China

BACKGROUND persistent left superior vena cava(PLSVC),a relatively rare thoracic vascular malformation,can inconvenience perfusionists and operators when encountered during deep hypothermic circulatory arrest(DHCA).CASE SUMMARY Herein,we describe the case of a patient with concurrent giant aortic arch aneurysm,aortic stenosis,and *** treat these conditions,we performed right hemiarch and aortic valve replacements under ***,we applied“bilateral superior vena cava retrograde cerebral perfusion(RCP)”for cerebral protection,which significantly optimized the surgical procedure and reduced the risk of postoperative *** patient was discharged 14 d after surgery with no *** Surgical intervention for PLSVC under DHCA can be performed using the bilateral superior vena cava RCP approach.

关键词： persistent left superior vena cava Aortic arch aneurysm Hemiarch replacement Deep hypothermic circulatory arrest Retrograde cerebral perfusion Case report

Peripherally inserted central catheter placement in neonates with persistent left superior vena cava: Report of eight cases

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第26期9卷 7944-7953页

作者： Qiong Chen Yan-Ling Hu Ying-Xin Li Xi Huang Department of Neonatal Nursing West China Second University HospitalSichuan University/West China School of NursingSichuan UniversityChengdu 610041Sichuan ProvinceChina Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University) Ministry of EducationChengdu 610041Sichuan ProvinceChina

BACKGROUND Reports on peripherally inserted central catheter(PICC)placement in neonates with persistent left superior vena cava(PLSVC)are *** majority of PLSVC patients have no clinical symptoms or hemodynamic changes,which are usually detected during cardiac catheterization,cardiac pacemaker implantation,or PICC ***,in neonates with PLSVC,PICC placement can be ***,we report PICC placement in eight neonates with *** SUMMARY This article introduces the concept of the“TIMB”*** PICC implantation,we found PLSVC in all eight *** key points of care regarding PICC placement in neonates with PLSVC included“TIMB”,where“T”indicates a reasonable choice of the catheterization time,“I”refers to a retrospective analysis of imaging data before catheterization,“M”refers to correct measurement of the body surface length,and“B”indicates that the tip of the PICC is placed in the middle and lower 1/3 of the left superior vena cava under the guidance of ***“TIMB”is a bundle for PICC placement in neonates,especially for those with *** this new approach can improve the first-attempt success rate of PICC placement,reveal cardiovascular abnormalities in advance,allow the selection of different measurement methods reasonably according to the puncture site,and finally,improve the accuracy of catheter positioning through the use of B-ultrasound guidance.

关键词： Neonate persistent left superior vena cava Peripherally inserted central catheter Complications “TIMB”bundle Case report

Accidental venous port placement via the persistent left superior vena cava:Two case reports

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2022年第27期10卷 9879-9885页

作者： Rui-Na Zhou Xiao-Bin Ma Li Wang Hua-Feng Kang Department of Oncology The Second Affiliated Hospital of Xi’an Jiao Tong UniversityXi'an 710004Shaanxi ProvinceChina

BACKGROUND Breast cancer poses a great threat to females *** are various therapies available to cure this common disease,such as surgery,chemotherapy,radiotherapy,and *** venous access ports(IVAP,referred to as PORT)have been widely used for breast cancer *** malformations are possible conditions encountered during PORT *** left superior vena cava(PLSVC)is a common superior vena cava *** patients have normal right superior vena cava without affecting hemodynamics,so patients often have no obvious *** SUMMARY We incidentally found that two patients had PLSVC while a PORT was implanted via the internal jugular *** to chemotherapy for breast cancer,PORT was successfully implanted under the guidance of ultrasound into these 2 *** chest X-ray examination after the operation showed that the catheter ran beside the left mediastinum and the end was located in the seventh thoracic *** patients had no catheter-related complications and successfully completed the course of *** found that the ratio of PORT outer diameter to PLSVC inner diameter was less than 0.45,which was in line with the recommendations of relevant literature and operating *** purpose of this article is to introduce two rare cases and review the relevant *** Correct assessment of PLSVC status and ultrasound-guided PORT placement generally does not affect breast cancer patients chemotherapy.

关键词： Implantable venous access port persistent left superior vena cava Chemotherapy Coronary sinus Case report

Integrated analysis of comorbidity, pregnant outcomes, and amniotic fluid cytogenetics of fetuses with persistent left superior vena cava

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Cardiology 2023年第10期15卷 500-507页

作者： Xin Yang Xin-Hui Su Zhen Zeng Yao Fan Yuan Wu Li-Li Guo Xiao-Yan Xu Department of Obstetrics and Gynecology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030Hubei ProvinceChina

BACKGROUND persistent left superior vena cava(PLSVC)is the most common venous system *** clinical characteristics and amniotic fluid cytogenetics of fetuses with PLSVC remain to be further *** To develop reliable prenatal diagnostic recommendations through integrated analysis of the clinical characteristics of fetuses with *** Cases of PLSVC diagnosed using prenatal ultrasonography between September 2019 and November 2022 were retrospectively *** clinical characteristics of the pregnant women,ultrasonic imaging information,gestational age at diagnosis,pregnancy outcomes,and amniocentesis results were summarized and analyzed using categorical statistics and the chi-square test or Fisher’s exact *** Of the 97 cases diagnosed by prenatal ultrasound,49(50.5%)had isolated PLSVC and 48(49.5%)had other structural *** differences in pregnancy outcomes and amniocentesis conditions between the two groups were statistically significant(P0.05).According to the results of the classification statistics,the most common intrac-ardiac abnormality was a ventricular septal defect and the most common extrac-ardiac abnormality was a single umbilical *** the subgroup analysis,the concurrent combination of intra-and extracardiac structural abnormalities was a risk factor for adverse pregnancy outcomes(odds ratio>1,P<0.05).Additional-ly,all abnormal cytogenetic findings on amniocentesis were observed in the comorbidity *** case was diagnosed with 21-trisomy and six cases was diagnosed with chromosome segment *** Examination for other structural abnormalities is strongly recommended when PLSVC is *** pregnancy outcomes and increased amniocentesis were observed in PLSVC cases with other structural *** fluid cytogenetics of fetuses is recommended

关键词： persistent left superior vena cava Prenatal diagnosis Amniotic fluid cytogenetics Pregnancy outcome Integrated analysis Comorbidity

Misdiagnosis of unroofed coronary sinus syndrome as an ostium primum atrial septal defect by echocardiography:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2022年第5期10卷 1592-1597页

作者： Jin-Ling Chen Cai-Gui Yu Dai-Jiao Wang Hong-Bin Chen Department of Echocardiography Renmin Hospital of Wuhan UniversityWuhan 430060Hubei ProvinceChina Department of Pulmonary and Critical Care Medicine Renmin Hospital of Wuhan UniversityWuhan 430060Hubei ProvinceChina

BACKGROUND Unroofed coronary sinus syndrome(UCSS)is a rare congenital heart disease,which has variable morphologic features and is strongly associated with persistent left superior vena cava(PLSVC).However,it is often difficult to visualize the left-to-right shunt pathway through the CS by transthoracic echocardiography(TTE).CASE SUMMARY A 37-year-old female was admitted to the hepatological surgery department of a hospital with complaint of subxiphoid pain that had started 1 wk *** examination revealed a grade 3/6 systolic murmur at the left margin of the sternum,between the 2nd and 3rd intercostal *** patient underwent echocardiography and was diagnosed with ostium primum atrial septal defect(ASD);thus,she was subsequently transferred to the cardiovascular surgery department.A second TTE evaluation before surgery showed type IV UCSS with secundum ***-heart contrast echocardiography(RHCE)showed that the right atrium and right ventricle were immediately filled with microbubbles,but no microbubble was observed in the ***,negative filling was observed at the right atrium orifice of the CS and right atrium side of the secundum atrial *** identified UCSS combined with secundum ASD but without PLSVC in this *** This rare case of UCSS highlights the value of TTE combined with RHCE in confirming UCSS with ASD or PLSVC.

关键词： Congenital heart disease Coronary sinus Atrial septal defect persistent left superior vena cava Echocardiography Right heart contrast echocardiography Case report