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胎儿游离壁及室间隔左心室动脉瘤的诊断:两例报告并文献复习

Fetal diagnosis of left ventricular aneurysm of the free wall and the interventricular septum: report of two cases and review of the literature.

作者信息

Weichert Jan, Chiriac Andreea, Axt-Fliedner Roland

机构信息

Division of Prenatal Medicine, University of Schleswig-Holstein, Campus Luebeck, Germany.

出版信息

J Matern Fetal Neonatal Med. 2010 Dec;23(12):1510-5. doi: 10.3109/14767051003678127. Epub 2010 Apr 7.

Abstract

Two cases of aneurysmatic bulgings of the free left ventricular wall and the interventricular septum, respectively diagnosed in late third trimester pregnancies are described. The diagnosis was confirmed by meticulous echocardiographic examination of the fetuses, who were referred for dysrhythmia. Based on sonographic findings and analysis of the clinical outcome, our previous cases emphasise management options both antenatally and postnatally. We further reviewed the current literature and discussed differences between aneurysmatic lesions with respect to their specific localisation to enhance our understanding of these fetal cardiac anomalies.

摘要

本文描述了两例分别在妊娠晚期诊断出的左心室游离壁和室间隔动脉瘤样膨出病例。诊断通过对因心律失常转诊的胎儿进行细致的超声心动图检查得以证实。基于超声检查结果和临床结局分析,我们之前的病例强调了产前和产后的管理方案。我们进一步回顾了当前文献,并讨论了动脉瘤样病变因其特定定位的差异,以加深我们对这些胎儿心脏异常的理解。

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