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一名出生体重545克的极早产儿严重峡部型主动脉缩窄的成功手术及长期预后

Successful surgery and long-term outcome of a critical isthmic coarctation in an extremely preterm infant with a birth weight of 545 g.

作者信息

Wirbelauer Johannes, Bauer Juergen, Akintuerk Hakan

机构信息

University Children's Hospital, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany.

出版信息

Pediatr Cardiol. 2009 Oct;30(7):1009-11. doi: 10.1007/s00246-009-9471-9. Epub 2009 Jun 2.

DOI:10.1007/s00246-009-9471-9
PMID:19488805
Abstract

The incidence of critical isthmic coarctation among preterm infants with a birth weight less than 750 g is expected to be fewer than 1:2,000,000 live births. A male twin was born after 26 weeks of gestation with a birth weight of 545 g. On day 9 of his life, he experienced anuria due to a critical neonatal isthmic coarctation. Resection of the coarctation and end-to-end anastomosis were performed. A magnetic resonance imaging (MRI) scan when the boy was 2 years old demonstrated no significant postoperative re-stenosis. At this writing, up to the age of 6 years, the boy has not needed retreatment. Critical neonatal isthmic coarctation in extremely low-birth-weight preterm infants can be corrected successfully.

摘要

出生体重低于750克的早产儿中,严重峡部型主动脉缩窄的发生率预计低于每200万活产儿1例。一名男性双胞胎在妊娠26周后出生,出生体重为545克。出生第9天,他因严重的新生儿峡部型主动脉缩窄出现无尿。进行了主动脉缩窄切除术和端端吻合术。男孩2岁时的磁共振成像(MRI)扫描显示术后无明显再狭窄。撰写本文时,该男孩至6岁尚未需要再次治疗。极低出生体重早产儿的严重新生儿峡部型主动脉缩窄可以成功矫正。

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本文引用的文献

1
Aortic arch repair with a working beating heart in premature infants.早产儿在心脏跳动下进行主动脉弓修复术。
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Surgery for coarctation of the aorta in infants weighing less than 2 kg.体重不足2千克婴儿的主动脉缩窄手术
Ann Thorac Surg. 2001 Apr;71(4):1260-4. doi: 10.1016/s0003-4975(00)02664-3.
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