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钙化性窦管交界处:老年女性瓣上型主动脉瓣狭窄的发现。

A calcified sinutubular junction: the discovery of a supravalvular aortic stenosis in an elderly woman.

机构信息

Department of Cardiology, Gelre Hospital, Albert Schweitzerlaan 31, 7334 DZ, Apeldoorn, the Netherlands,

出版信息

Neth Heart J. 2013 Dec;21(12):561-4. doi: 10.1007/s12471-013-0426-7.

DOI:10.1007/s12471-013-0426-7
PMID:23640577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3833916/
Abstract

We report a case of a 64 year old woman with a calcified ring at the level of the sinotubular junction. Echocardiography and Computed Tomography showed a supravalvular aortic stenosis, without known associated lesions, except for the existence of an aberrant right subclavian artery. These combination of abnormalities makes it an unique case. Differential diagnosis of sinutubular calcification is added. From the literature a short review of supravalvular aortic stenosis is presented with indications for surgical intervention. Lifelong and regular follow up is necessary.

摘要

我们报告一例 64 岁女性患者,于窦管交界处存在环状钙化。超声心动图和计算机断层扫描显示瓣上型主动脉瓣狭窄,除存在右位锁骨下动脉异常外,无其他已知相关病变。这些异常的组合使其成为一个独特的病例。此外,还增加了窦管交界处钙化的鉴别诊断。从文献中简要回顾了瓣上型主动脉瓣狭窄,并提出了手术干预的适应证。需要终身和定期随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cbf/3833916/7c8b89f95051/12471_2013_426_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cbf/3833916/276ba3e765d9/12471_2013_426_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cbf/3833916/f30f013d18f3/12471_2013_426_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cbf/3833916/7c8b89f95051/12471_2013_426_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cbf/3833916/276ba3e765d9/12471_2013_426_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cbf/3833916/f30f013d18f3/12471_2013_426_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cbf/3833916/7c8b89f95051/12471_2013_426_Fig3_HTML.jpg

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本文引用的文献

1
Epidemiology of adult congenital heart disease: demographic variations worldwide.成人先天性心脏病的流行病学:全球人口统计学差异。
Neth Heart J. 2012 Dec;20(12):505-8. doi: 10.1007/s12471-012-0335-1.
2
Prosthetic valves in adult patients with congenital heart disease: Rationale and design of the Dutch PROSTAVA study.成人先天性心脏病患者的人工瓣膜:荷兰 PROSTAVA 研究的原理和设计。
Neth Heart J. 2012 Oct;20(10):419-24. doi: 10.1007/s12471-012-0308-4.
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Cardiac outcomes in adults with supravalvar aortic stenosis.主动脉瓣上型主动脉瓣狭窄成人的心脏结局。
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What is new in dilatation of the ascending aorta? Review of current literature and practical advice for the cardiologist.升主动脉扩张有哪些新进展?当前文献综述及给心脏病专家的实用建议。
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Neth Heart J. 2010 Jun;18(6):327-8. doi: 10.1007/BF03091785.
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Williams-Beuren syndrome.威廉姆斯-贝伦综合征
N Engl J Med. 2010 Jan 21;362(3):239-52. doi: 10.1056/NEJMra0903074.
9
Arteria lusoria: developmental anatomy, clinical, radiological and surgical aspects.迷走动脉:发育解剖学、临床、放射学及手术学方面
Ann Cardiol Angeiol (Paris). 2010 Jun;59(3):147-54. doi: 10.1016/j.ancard.2009.07.008. Epub 2009 Aug 8.
10
Transthoracic Echocardiographic Visualization of Calcification of the Sinotubular Ridge of the Ascending Aorta.经胸超声心动图对升主动脉窦管嵴钙化的可视化观察
Echocardiography. 1998 Jul;15(5):425-428. doi: 10.1111/j.1540-8175.1998.tb00628.x.