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孕早期心脏憩室伴心包积液的产前诊断及早期心包穿刺引流后的转归

Prenatal Diagnosis of Cardiac Diverticulum with Pericardial Effusion in the First Trimester of Pregnancy with Resolution after Early Pericardiocentesis.

作者信息

Garcia Rodriguez Raquel, Rodriguez Guedes Azahara, Garcia Delgado Raquel, Roldan Gutierrez Lourdes, Medina Castellano Margarita, Garcia Hernandez Jose Angel

机构信息

Prenatal Diagnosis and Fetal Therapy Unit, Department of Obstetrics and Gynecology, University Maternity Hospital of Canaries, Las Palmas, 35004 Gran Canaria, Spain.

出版信息

Case Rep Obstet Gynecol. 2015;2015:154690. doi: 10.1155/2015/154690. Epub 2015 Oct 8.

DOI:10.1155/2015/154690
PMID:26558121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4618333/
Abstract

Cardiac diverticulum is a rare anomaly, which may present in association with pericardial effusion. Only few cases diagnosed during fetal life have been published and only in 12 cases pericardiocentesis was made with good postnatal outcomes in 83% of the cases. In the first trimester of pregnancy only 6 cases were reported. We described the largest series of cases published. We describe a case of cardiac diverticulum complicated with pericardial effusion during the first trimester of pregnancy and resolved by intrauterine pericardiocentesis at 17 weeks of pregnancy. We made a systematic review of the literature with the cases reported of cardiac diverticulum, management, and outcomes.

摘要

心脏憩室是一种罕见的异常情况,可能与心包积液同时出现。仅有少数在胎儿期诊断出的病例被报道,且仅有12例进行了心包穿刺术,其中83%的病例产后预后良好。在妊娠早期仅报道了6例。我们描述了已发表的最大病例系列。我们描述了一例在妊娠早期并发心包积液的心脏憩室病例,并在妊娠17周时通过宫内心包穿刺术得以解决。我们对已报道的心脏憩室病例、治疗及预后进行了系统的文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ec7/4618333/3339f7a0f227/CRIOG2015-154690.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ec7/4618333/afdd1b2285b5/CRIOG2015-154690.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ec7/4618333/3339f7a0f227/CRIOG2015-154690.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ec7/4618333/afdd1b2285b5/CRIOG2015-154690.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ec7/4618333/3339f7a0f227/CRIOG2015-154690.002.jpg

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本文引用的文献

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Australas J Ultrasound Med. 2012 Aug;15(3):112-114. doi: 10.1002/j.2205-0140.2012.tb00016.x. Epub 2015 Dec 31.
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Ventricular aneurysms are different from ventricular diverticula!心室壁瘤与心室憩室不同!
Circ J. 2013;77(1):276. doi: 10.1253/circj.cj-12-1311. Epub 2012 Nov 7.
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Right ventricular outpouching associated with a ventricular septal defect: case report.合并室间隔缺损的右心室憩室:病例报告
Prenatal diagnosis of fetal right ventricular diverticulum with massive pericardial effusion in one of monochorionic diamniotic twins: a case report with a favorable outcome following in utero pericardiocentesis.超声检查发现一例单绒毛膜双羊膜囊双胎之一胎儿右心室憩室伴大量心包积液:宫内心包穿刺术后结局良好的病例报告。
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4
Corrigendum to "Prenatal Diagnosis of Cardiac Diverticulum with Pericardial Effusion in the First Trimester of Pregnancy with Resolution after Early Pericardiocentesis".《孕早期心脏憩室合并心包积液的产前诊断及早期心包穿刺引流后病情缓解》勘误
Case Rep Obstet Gynecol. 2017;2017:6207658. doi: 10.1155/2017/6207658. Epub 2017 Mar 5.
Pediatr Cardiol. 2011 Dec;32(8):1269-70. doi: 10.1007/s00246-011-0059-9. Epub 2011 Sep 27.
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Prenatally diagnosed left ventricular diverticulum with thoracoabdominal wall defect: a case and review of the literature.产前诊断为左心室憩室合并胸腹壁缺损:1例病例及文献复习
J Perinatol. 2010 Nov;30(11):760-2. doi: 10.1038/jp.2010.106.
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Pediatr Cardiol. 2010 Aug;31(6):891-3. doi: 10.1007/s00246-010-9729-2. Epub 2010 May 22.
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