Costa T J, Damry N, Jacquemart C, Christophe C
JBR-BTR. 2014 Nov-Dec;97(6):356-7. doi: 10.5334/jbr-btr.129.
We report the case of a 3,5 month-old infant presented at cardiology consultation of our institution for investigation of a heart murmur associated with failure to thrive and respiratory distress. Echocardiogram showed dilatation of left heart cavities, patent foramen ovale, small muscular ventricular septal defect and pulmonary hypertension. Angio-CT was performed on a 64-slice CT to better characterize the congenital heart disease. Aortopulmonary window was diagnosed and surgically corrected. Patient evolution was good with discharge 10 days after surgery. The authors review the literature and stress the importance of angio-CT in pre-operative evaluation.
我们报告了一名3个半月大婴儿的病例,该婴儿因心脏杂音伴生长发育迟缓及呼吸窘迫前来我院心内科会诊。超声心动图显示左心腔扩张、卵圆孔未闭、小型肌部室间隔缺损及肺动脉高压。为更好地明确先天性心脏病,对该患儿进行了64层CT血管造影(Angio-CT)检查。诊断为主肺动脉窗,并进行了手术矫正。术后10天患者情况良好并出院。作者回顾了相关文献并强调了血管造影CT在术前评估中的重要性。