经胸超声心动图诊断房间隔完整的部分性肺静脉异位引流

目的　探讨房间隔完整的部分性肺静脉异位引流的超声心动图特征。方法　经胸二维超声心动图及彩色多普勒血流图检测 3例房间隔完整的部分性肺静脉异位引流患者。结果　经胸超声心动图诊断准确率为 10 0 %。 3例患者房间隔均完整 ,无心内分流及其他畸形。 3例患者心内冠状静脉窦型 2例 ,心内右房型 1例 ;异常连接 2例为双支左肺或右肺静脉 ,1例为单支右上肺静脉。 3例均表现为不同程度的右心系统扩大。结论　经胸超声心动图对无其他原因所致的右心负荷过重者 ,应高度怀疑部分性肺静脉异位引流存在的可能 ,常规检查肺静脉位置及开口 ,必要时辅以经食道超声心动图 ,有助于早期诊断

Diagnosis of partial anomalous pulmonary venous connection with intact interatrial septum by transthoracic echocardiography

Objective To explore the features of echocardiographic partial anomalous pulmonary venous connection (PAPVC) with intact interatrial septum. Methods Three patients with intact interatrial septum of PAPVC were examined by transthoracic echocardiography (TTE) using HP Sonos 5500 color Doppler machine. Imaging was performed at a frequency of 2～4 MHz, or 12 MHz. Results Accuracy of the diagnosis by TTE was 100 %. The patients had isolated PAPVC. The connection site was the coronary sinus in two, right atrium in one. There was a single anomalous connection vein in one patient, two in the others. Apparent right heart dilation was found in all the patients. Conclusion Unexplained right heart volume overload that was examined by TTE should have a high-degree suspicion for PAPVC. The origin site of pulmonary veins and their flow should be examined routinely. Transesophageal echocardiography (TEE) and TTE are complementary in the diagnosis.