Successful blood sampling through azygos continuation with interrupted inferior vena cava. A case report and review of the literature.
Int Heart J
; 52(5): 327-30, 2011.
Article
em En
| MEDLINE
| ID: mdl-22008446
ABSTRACT
Interrupted inferior vena cava (IVC) with azygos continuation is a rare congenital anomaly, and is frequently associated with other cardiovascular malformations and situs anomalies, such as left isomerism. These patients usually develop deep vein thrombosis (DVT), and asymptomatic patients above 60 years of age are very rare. Here we report a case of interrupted IVC which we diagnosed in a 72-year-old woman. She was admitted to our hospital suffering from heart failure and supraventricular tachycardia. Echocardiography detected secundum atrial septal defect (ASD). An abnormal paravertebral pleural line on the chest X-rays indicated the existence of venous anomaly. Anatomical images obtained by Multidetector Computed Tomography (MDCT) helped us to successfully perform right heart catheterization procedures through azygos continuation including blood sampling from pulmonary veins. Even in elderly patients, a careful examination of chest X-rays can indicate undiagnosed venous anomalies; thus, it is critically important before planning surgical or interventional procedures.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Veia Ázigos
/
Veia Cava Inferior
/
Processamento de Imagem Assistida por Computador
/
Taquicardia Supraventricular
/
Cateterismo Cardíaco
/
Coleta de Amostras Sanguíneas
/
Imageamento Tridimensional
/
Tomografia Computadorizada Multidetectores
/
Insuficiência Cardíaca
/
Comunicação Interatrial
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Int Heart J
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Japão