Jacobson R L, Perez A, Meyer R A, Miodovnik M, Siddiqi T A
Department of Obstetrics and Gynecology, University of Cincinnati Medical Center, Ohio.
Obstet Gynecol. 1991 Sep;78(3 Pt 2):525-8.
Fetal echocardiography in a 30-year-old black woman, gravida 4, para 3, demonstrated left ventricular aneurysm. This was confirmed by color flow pulsed Doppler techniques. After delivery, neonatal echocardiography and magnetic resonance imaging further confirmed the diagnosis. The infant was followed closely and underwent surgical correction at 8.5 months of age. Before surgery, cardiac catheterization demonstrated normal hemodynamic function. A review of the literature revealed a paucity of information. Issues of prenatal diagnosis, antenatal surveillance, method of delivery, and neonatal follow-up are not well defined in either the obstetric or pediatric cardiology literature. A rationale for our approach to this complex problem is presented.
一名30岁的黑人女性，孕4产3，胎儿超声心动图显示左心室动脉瘤。这通过彩色血流脉冲多普勒技术得以证实。分娩后，新生儿超声心动图和磁共振成像进一步确诊。该婴儿接受密切随访，并在8.5个月大时接受了手术矫正。手术前，心导管检查显示血流动力学功能正常。文献综述显示相关信息匮乏。产科或儿科心脏病学文献中，关于产前诊断、产前监测、分娩方式及新生儿随访等问题均未明确界定。本文阐述了我们针对这一复杂问题的处理方法的基本原理。
