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主动脉肺动脉窗合并法洛四联症:超声心动图诊断

Aortopulmonary window coexisting with tetralogy of Fallot: echocardiographic diagnosis.

作者信息

Carminati M, Borghi A, Valsecchi O, Quattrociocchi M, Balduzzi A, Rusconi P, Russo M G, Festa P, Preda L, Tiraboschi R

机构信息

Department of Cardiology, Ospedali Riuniti, Bergamo, Italy.

出版信息

Pediatr Cardiol. 1990 Jan;11(1):41-3. doi: 10.1007/BF02239546.

DOI:10.1007/BF02239546
PMID:2304880
Abstract

Aortopulmonary window coexisting with tetralogy of Fallot (TF) was prospectively diagnosed by two-dimensional (2D) echocardiography and Doppler in an 18-month-old boy; the diagnosis was confirmed by cardiac catheterization and angiocardiography. Surgical correction was performed, but the patient died in the operating room from right ventricular dysfunction. The autopsy showed an adequate surgical repair, but the histologic examination of the lungs demonstrated severe pulmonary vascular disease, which was presumed to be the cause of death.

摘要

一名18个月大的男孩经二维超声心动图和多普勒检查前瞻性诊断为主动脉肺动脉窗合并法洛四联症(TF);心脏导管检查和心血管造影证实了诊断。进行了手术矫正,但患者在手术室因右心室功能障碍死亡。尸检显示手术修复充分,但肺部组织学检查显示严重的肺血管疾病,推测这是死亡原因。

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Aortopulmonary window coexisting with tetralogy of Fallot: echocardiographic diagnosis.主动脉肺动脉窗合并法洛四联症:超声心动图诊断
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2
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本文引用的文献

1
Aorticopulmonary septal defect: diagnosis and surgical treatment.主肺动脉间隔缺损:诊断与外科治疗。
Surgery. 1957 Jul;42(1):101-20; discussion, 120.
2
Tetralogy of Fallot with coexisting type II aortopulmonary window.法洛四联症合并Ⅱ型主肺动脉窗
Ann Thorac Surg. 1981 Jan;31(1):78-81. doi: 10.1016/s0003-4975(10)61322-7.
3
Right oblique subxiphoid view for two-dimensional echocardiographic visualization of the right ventricle in congenital heart disease.剑突下右斜位视图用于先天性心脏病中右心室的二维超声心动图可视化。
Am J Cardiol. 1984 Nov 1;54(8):1064-8. doi: 10.1016/s0002-9149(84)80145-9.
4
Tetralogy of Fallot with aorticopulmonary window. Report of two surgical cases.法洛四联症合并主肺动脉窗。两例手术病例报告。
J Thorac Cardiovasc Surg. 1977 Sep;74(3):467-8.
5
Aorticopulmonary window associated with tetralogy of Fallot. Report of one case and review of the literature.
Angiology. 1976 Sep;27(9):526-34. doi: 10.1177/000331977602700906.
6
The management of aortopulmonary window: advantages of transaortic closure with a dacron patch.主肺动脉窗的治疗:采用涤纶补片经主动脉闭合术的优势
J Thorac Cardiovasc Surg. 1976 Jul;72(1):48-51.