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主动脉缩窄和主动脉弓中断婴儿锁骨下动脉窃血的多普勒超声诊断

Dopplersonographic diagnosis of subclavian steal in infants with coarctation of the aorta and interrupted aortic arch.

作者信息

Deeg K H, Singer H

机构信息

Cardiologic Department, University of Erlangen, FRG.

出版信息

Pediatr Radiol. 1989;19(3):163-6. doi: 10.1007/BF02388646.

DOI:10.1007/BF02388646
PMID:2654852
Abstract

In two newborns with severe coarctation of the aorta and interrupted aortic arch, subclavian-steal was shown by angiocardiography. In both children pulsed doppler recordings were obtained in the cerebral arteries: normal forward flow during systole and diastole could be shown in the anterior cerebral arteries, both internal carotid arteries, the basilar artery and the right vertebral artery. In the left vertebral artery in both infants a negative flow indicating backflow from the brain could be shown. Pulsed doppler sonography of the flow in the vertebral arteries is a non invasive method for diagnosis of subclavian steal in infants with coarctation of the aorta and interrupted aortic arch.

摘要

在两名患有严重主动脉缩窄和主动脉弓中断的新生儿中,心血管造影显示存在锁骨下动脉盗血现象。在这两名儿童中,均对脑动脉进行了脉冲多普勒记录:大脑前动脉、双侧颈内动脉、基底动脉和右侧椎动脉在收缩期和舒张期均可显示正常的正向血流。在两名婴儿的左侧椎动脉中,均可显示出指示血液从脑部倒流的反向血流。对椎动脉血流进行脉冲多普勒超声检查是诊断患有主动脉缩窄和主动脉弓中断的婴儿锁骨下动脉盗血的一种非侵入性方法。

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1
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