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胸主动脉串联性缩窄伴腹主动脉发育不全。

Tandem coarctation of the thoracic aorta with hypoplasia of the abdominal aorta.

作者信息

van Meurs-van Woezik H, Wolff E D, Essed C E, Meradji M, Bos E, de Villeneuve V H

出版信息

Thorac Cardiovasc Surg. 1985 Feb;33(1):44-7. doi: 10.1055/s-2007-1014082.

DOI:10.1055/s-2007-1014082
PMID:2579464
Abstract

After resection of the coarctation in a 3-year-old child with end-to-end anastomosis, a second membrane was found 1.5 cm lower. After a successful reoperation with an aortoplasty using Gore-Tex weak femoral pulses persisted. At catheterization, an area of irregular narrowing of the abdominal aorta just distal to the superior mesenteric artery was found with hypoplasia of the iliac and femoral arteries. In addition, this child had a two-sided cheilo-gnatho-palatoschisis, vesicoureteral reflux and absence of gall bladder and hepato-duodenal ligament. It is worthwhile considering that a second or third aortic abnormality can be hidden by a coarctation of the aorta.

摘要

在一名3岁儿童行端端吻合术切除主动脉缩窄段后,在其下方1.5厘米处发现了第二处隔膜。在用戈尔特斯(Gore-Tex)补片行主动脉成形术成功进行再次手术后,患儿仍持续存在股动脉搏动微弱的情况。在导管插入术中,发现肠系膜上动脉远端的腹主动脉有不规则狭窄区域,同时髂动脉和股动脉发育不全。此外,该患儿患有双侧唇腭裂、膀胱输尿管反流,且无胆囊和肝十二指肠韧带。值得考虑的是,主动脉缩窄可能掩盖第二处或第三处主动脉异常情况。

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