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[胎儿期治疗左心发育不全综合征]

[In-utero treatment of hypoplastic left heart syndrome].

作者信息

Lytzen Rebekka, Helvind Morten, Jørgensen Finn Stener, Jørgensen Connie, Arzt Wolfgang, Tulzer Gerald, Vejlstrup Niels

机构信息

Natalvej 48, 2770 Kastrup.

出版信息

Ugeskr Laeger. 2015 Jan 26;177(2A):106-7.

Abstract

In-utero treatment of fetal aortic stenosis (AS) may prevent hypoplastic left heart syndrome. A girl was diagnosed prenatally with severe AS and was referred to the Women's and Children's Hospital in Linz, Austria, where she underwent an intrauterine valvuloplasty of the aortic valve. Postnatally, the girl was given prostaglandin and operated a.m. Ross-Konno. An echocardiography at the age of four months showed a neoaorta without stenosis and insufficiency and a normal systolic function of the left ventricle. This treatment must be carefully considered when dealing with fetuses with AS.

摘要

子宫内治疗胎儿主动脉狭窄(AS)可能预防左心发育不全综合征。一名女孩在产前被诊断为重度AS,并被转诊至奥地利林茨的妇女儿童医院,在那里她接受了主动脉瓣宫内瓣膜成形术。出生后,该女孩接受了前列腺素治疗,并于上午进行了Ross-Konno手术。四个月大时的超声心动图显示,新主动脉无狭窄和关闭不全,左心室收缩功能正常。在处理患有AS的胎儿时,必须仔细考虑这种治疗方法。

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