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心脏内解剖结构正常的新生儿功能性肺动脉闭锁:吸入一氧化氮和肺血管扩张剂治疗成功

Functional pulmonary atresia in newborn with normal intracardiac anatomy: Successful treatment with inhaled nitric oxide and pulmonary vasodilators.

作者信息

Altun Gürkan, Babaoğlu Kadir, Binnetoğlu Köksal, Kavas Nazan, Arısoy Ayşe Engin

机构信息

Department of Pediatric Cardiology, Kocaeli University, Medical Faculty, Kocaeli, Turkey.

出版信息

Ann Pediatr Cardiol. 2013 Jan;6(1):83-6. doi: 10.4103/0974-2069.107243.

DOI:10.4103/0974-2069.107243
PMID:23626445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3634257/
Abstract

Functional pulmonary atresia is characterized by a structurally normal pulmonary valve that does not open during right ventricular ejection. It is usually associated with Ebstein's anomaly, Uhl's anomaly, neonatal Marfan syndrome and tricuspid valve dysplasia. However, functional pulmonary atresia is rarely reported in newborn with anatomically normal heart. We report a newborn with functional pulmonary atresia who had normal intracardiac anatomy, who responded to treatment with nitric oxide and other vasodilator therapy successfully.

摘要

功能性肺动脉闭锁的特征是肺动脉瓣结构正常,但在右心室射血时不开放。它通常与埃布斯坦畸形、乌尔畸形、新生儿马方综合征和三尖瓣发育异常相关。然而,解剖结构正常的新生儿中功能性肺动脉闭锁很少见。我们报告一例功能性肺动脉闭锁的新生儿,其心脏内解剖结构正常,对一氧化氮和其他血管扩张剂治疗反应良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/3634257/1fa9cee0c0e7/APC-6-83-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/3634257/316bfce1d324/APC-6-83-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/3634257/f2ff913b9b17/APC-6-83-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/3634257/1fa9cee0c0e7/APC-6-83-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/3634257/316bfce1d324/APC-6-83-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/3634257/f2ff913b9b17/APC-6-83-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/3634257/1fa9cee0c0e7/APC-6-83-g003.jpg

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引用本文的文献

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本文引用的文献

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Functional pulmonary atresia in a patient with neonatal Marfan syndrome caused by a c.3602G>A mutation in exon 29 of the FBN1 gene.一名患有新生儿马方综合征的患者因FBN1基因第29外显子c.3602G>A突变导致功能性肺动脉闭锁。
Clin Dysmorphol. 2008 Apr;17(2):127-128. doi: 10.1097/MCD.0b013e328248b6b0.
2
Surgical treatment of tricuspid valve dysplasia in the neonatal period.新生儿期三尖瓣发育异常的外科治疗
Ital Heart J. 2003 Mar;4(3):211-3.
3
Functional pulmonary atresia in a newborn with normal intracardiac anatomy.心脏内部解剖结构正常的新生儿功能性肺动脉闭锁
Pediatr Cardiol. 2002 Nov-Dec;23(6):647-9. doi: 10.1007/s00246-001-0080-5.
4
Doppler echocardiographic differentiation of functional from anatomical pulmonary atresia: analysis using quantitative parameters.经食管超声心动图对功能性与解剖性肺动脉闭锁的鉴别:基于定量参数的分析
Circ J. 2002 Jul;66(7):665-7. doi: 10.1253/circj.66.665.
5
Functional pulmonary atresia in neonatal Marfan's syndrome: successful treatment with inhaled nitric oxide.新生儿马凡综合征中的功能性肺动脉闭锁:吸入一氧化氮治疗成功
Pediatr Cardiol. 2001 Nov-Dec;22(6):525-6. doi: 10.1007/s002460010290. Epub 2001 Dec 4.
6
Recognition of functional pulmonary atresia by color Doppler echocardiography.彩色多普勒超声心动图对功能性肺动脉闭锁的识别
Am J Cardiol. 1999 Mar 15;83(6):987-8, A11. doi: 10.1016/s0002-9149(98)01045-5.
7
From functional pulmonary atresia to right ventricular restriction. Long term follow up of Uhl's anomaly.从功能性肺动脉闭锁到右心室受限。乌尔氏畸形的长期随访。
Int J Cardiol. 1998 Dec 1;67(2):161-4. doi: 10.1016/s0167-5273(98)00304-0.
8
Management of functional pulmonary atresia with isoproterenol in a neonate with Ebstein's anomaly.在一名患有埃布斯坦畸形的新生儿中使用异丙肾上腺素治疗功能性肺动脉闭锁
Tohoku J Exp Med. 1997 Apr;181(4):459-65. doi: 10.1620/tjem.181.459.
9
Diagnosis of functional pulmonary atresia using hyperventilation and Doppler ultrasound.使用过度通气和多普勒超声诊断功能性肺动脉闭锁
Am J Cardiol. 1987 Mar 1;59(6):709-11. doi: 10.1016/0002-9149(87)91201-x.
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Transient neonatal tricuspid regurgitation: a Doppler echocardiographic study of three cases.短暂性新生儿三尖瓣反流:三例病例的多普勒超声心动图研究
Br Heart J. 1988 Nov;60(5):446-51. doi: 10.1136/hrt.60.5.446.