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先天性心外膜异位伴成功手术治疗。

Prenatally evolving ectopia cordis with successful surgical treatment.

机构信息

Department of Obstetrics and Gynecology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University of Torun, Bydgoszcz, Poland.

出版信息

Fetal Diagn Ther. 2011;30(1):70-2. doi: 10.1159/000326300. Epub 2011 Apr 21.

Abstract

Ectopia cordis (EC) is a rare malformation due to failure of maturation of the midline mesodermal components of the chest and abdomen. It can be defined as a complete or partial displacement of the heart outside the thoracic cavity. It comprises 0.1% of congenital heart diseases. Common cardiac anomalies associated with EC are ventricular septal defect, atrial septal defect, and tetralogy of Fallot. EC and additional anomalies usually lead to intrauterine death. The possibility and efficacy of surgery in a surviving neonate depends on the degree of EC, coexisting congenital heart defects and extracardiac malformations. We present a case of prenatally diagnosed isolated EC diagnosed in the first half of pregnancy. After counseling, the patient decided to continue her pregnancy which ended with a newborn baby discharged from the hospital after cardiac surgery performed just after elective cesarean section.

摘要

心外异位(EC)是一种罕见的畸形,是由于胸部和腹部中线中胚层成分成熟失败所致。它可定义为心脏完全或部分移出胸腔。它占先天性心脏病的 0.1%。常见的与 EC 相关的心脏异常包括室间隔缺损、房间隔缺损和法洛四联症。EC 和其他畸形通常导致宫内死亡。存活新生儿手术的可能性和效果取决于 EC 的程度、并存的先天性心脏缺陷和心脏外畸形。我们报告了一例在妊娠前半期诊断的孤立性 EC 的病例。经过咨询,患者决定继续妊娠,最终在选择性剖宫产术后立即进行心脏手术后,新生儿出院。

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