Successful Blood Sampling Through Azygos Continuation With Interrupted Inferior Vena Cava : A Case Report and Review of the Literature
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概要
- 論文の詳細を見る
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.
著者
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Takahashi Masao
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
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Hirata Yasunobu
Department of Cardiovascular Medicine, The University of Tokyo
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Maemura Koji
Department of Cardiovascular Medicine, The University of Tokyo
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Takeda Norihiko
Department Of Applied Chemistry Faculty Of Engineering Osaka University
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Matsumura Takayoshi
Department Of Cardiology Sakakibara Heart Institute
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Komatsu Shuhei
Department of Radiology, University of Tokyo Graduate School of Medicine
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Hirata Yasunobu
Department Of Advanced Clinical Science And Therapeutics Cardiovascular Medicine Graduate School Of
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Ohtomo Kuni
Department Of Radiology Faculty Of Medicin University Of Tokyo
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Maemura Koji
Department Of Cardiovascular Medicine Course Of Medical And Dental Sciences Graduate School Of Biome
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Watanabe Masafumi
Department Of Cardiovascular Medicine Graduate School Of Medicine The University Of Tokyo
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Fujita Hideo
Department Of Aeronautics University Of Tokyo
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Saito Tetsuya
Department Of Biological And Chemical Engineering Faculty Of Engineering Gunma University:the Mushro
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Kiyosue Arihiro
Department Of Cardiology The University Of Tokyo
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Nagai Ryozo
Department Cardiovascular Medicine The University Of Tokyo Hospital
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Yamashita Hiroshi
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
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KOJIMA Toshiya
Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine
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Takeda Norihiko
Department of Cardiovascular Medicine, The University of Tokyo
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Kiyosue Arihiro
Department of Cardiovascular Medicine, The University of Tokyo
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Kojima Toshiya
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
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Kojima Toshiya
Department of Cardiovascular Medicine, The University of Tokyo
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Komatsu Shuhei
Department of Radiology, Graduate School of Medicine, The University of Tokyo
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