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原发性心内膜弹力纤维增生症的扩张型和收缩型:一种具有两个发育阶段的单一胎儿疾病。

Dilated and contracted forms of primary endocardial fibroelastosis: a single fetal disease with two stages of development.

作者信息

Carceller A M, Maroto E, Fouron J C

机构信息

Section of Pediatric Cardiology, University of Montreal, Sainte-Justine Hospital, Canada.

出版信息

Br Heart J. 1990 May;63(5):311-3. doi: 10.1136/hrt.63.5.311.

DOI:10.1136/hrt.63.5.311
PMID:2278804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1024485/
Abstract

Left ventricular endocardial fibroelastosis was diagnosed by echocardiographic scanning in a fetus at 20 weeks' gestation. Repeated prenatal examination over the next 20 weeks' gestation showed the development of the left ventricle from a chamber with a dilated cavity to a small cavity with a very thick wall. These findings were confirmed at necropsy and by the absence of other morphological anomalies. The contracted form of primary fibroelastosis in the fetus must have followed an insult that prevented any further increase in the size of the left ventricular cavity.

摘要

在一名妊娠20周的胎儿中,经超声心动图扫描诊断为左心室心内膜纤维弹性组织增生症。在接下来妊娠的20周内进行的多次产前检查显示,左心室从一个腔室扩大的腔室发展为一个壁非常厚的小腔室。尸检及未发现其他形态异常证实了这些发现。胎儿原发性纤维弹性组织增生症的收缩形式一定是在遭受某种损伤后发生的,这种损伤阻止了左心室腔室大小的进一步增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bdc/1024485/f229e75c0118/brheartj00053-0051-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bdc/1024485/71264a32268f/brheartj00053-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bdc/1024485/d8a7ee1a411e/brheartj00053-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bdc/1024485/f229e75c0118/brheartj00053-0051-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bdc/1024485/71264a32268f/brheartj00053-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bdc/1024485/d8a7ee1a411e/brheartj00053-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bdc/1024485/f229e75c0118/brheartj00053-0051-b.jpg

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本文引用的文献

1
Prenatal diagnosis of endocardial fibroelastosis.心内膜弹力纤维增生症的产前诊断
Prenat Diagn. 1984 Jan-Feb;4(1):67-72. doi: 10.1002/pd.1970040110.
2
Endocardial fibroelastosis and left heart hypoplasia revisited.再探心内膜弹力纤维增生症与左心发育不全
Int J Cardiol. 1984 Apr;5(4):547-50. doi: 10.1016/0167-5273(84)90097-4.
3
Endocardial fibroelastosis and hypoplasia of the left ventricle in neonates without significant aortic stenosis.新生儿无明显主动脉狭窄时的心内膜弹力纤维增生症及左心室发育不全
Br Heart J. 1984 May;51(5):492-7. doi: 10.1136/hrt.51.5.492.
4
Contracted form of endocardial fibroelastosis: angiographic diagnosis and necropsy confirmation.心内膜弹力纤维增生症的缩窄型:血管造影诊断与尸检证实
Pediatr Cardiol. 1983 Oct-Dec;4(4):281-3. doi: 10.1007/BF02278874.
5
Hemodynamic considerations in the development of narrowing of the aorta.主动脉缩窄发展过程中的血流动力学因素
Am J Cardiol. 1972 Oct;30(5):514-25. doi: 10.1016/0002-9149(72)90042-2.
6
Fetal echocardiographic signs of congenital endocardial fibroelastosis.
Obstet Gynecol. 1988 Aug;72(2):219-22.