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室间隔完整的右心室双出口。

Double outlet right ventricle with intact ventricular septum.

作者信息

Özgür Senem, Ceylan Özben, Doğan Vehbi, Örün Utku Arman

机构信息

Department of Cardiology, Dr. Sami Ulus Maternity, Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.

出版信息

Turk Kardiyol Dern Ars. 2014 Mar;42(2):190-3. doi: 10.5543/tkda.2014.84589.

Abstract

Double outlet right ventricle is a cardiac malformation in which both the aorta and pulmonary artery arise from the right ventricle. A double outlet right ventricle with intact ventricular septum is extremely rare. A nine-day-old boy born at 38 weeks with a birth weight of 3200 g was referred due to cyanosis and murmur. The history of the patient was nonsignificant. On the physical examination, oxygen saturation of the patient on room air was 84%, and cardiac activity and a 2/6 systolic murmur at the right sternal border were found. On electrocardiography, deep q's were determined in D2, D3, and aVF. On echocardiography, left atrial isomerism, dextrocardia, wide, high venosum atrial septal defect, double outlet right ventricle with intact ventricular septum, malposition of the great arteries, and moderate pulmonary stenosis were observed. Catheter angiography was performed for diagnostic confirmation. Herein, a newborn with cyanosis and murmur diagnosed as double outlet right ventricle with intact ventricular septum is reported.

摘要

右心室双出口是一种心脏畸形,其中主动脉和肺动脉均起源于右心室。室间隔完整的右心室双出口极为罕见。一名38周出生、出生体重3200克的9天大男婴因青紫和杂音前来就诊。患者既往史无特殊。体格检查时,患者在室内空气中的氧饱和度为84%,发现心脏活动及右胸骨缘2/6级收缩期杂音。心电图显示D2、D3和aVF导联有深Q波。超声心动图显示左心房异构、右位心、宽而高位的静脉型房间隔缺损、室间隔完整的右心室双出口、大动脉转位和中度肺动脉狭窄。为明确诊断进行了心导管血管造影。本文报道了一名诊断为室间隔完整的右心室双出口且有青紫和杂音的新生儿。

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