Lee Jong Uk, Jang Woo Sung, Lee Young Ok, Cho Joon Yong
Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine.
Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):115-8. doi: 10.5090/kjtcs.2016.49.1.115. Epub 2016 Feb 5.
Williams syndrome (WS) is a developmental disorder characterized by vascular abnormalities such as thickening of the vascular media layer in medium- and large-sized arteries. Supravalvular aortic stenosis (SVAS) and peripheral pulmonary artery stenosis (PPAS) are common vascular abnormalities in WS. The natural course of SVAS and PPAS is variable, and the timing of surgery or intervention is determined according to the progression of vascular stenosis. In our patient, SVAS and PPAS showed rapid concurrent progression within two weeks after birth. We report the early manifestation of SVAS and PPAS in the neonatal period and describe the surgical treatment for stenosis relief.
威廉姆斯综合征(WS)是一种发育障碍,其特征为血管异常,如中大型动脉血管中层增厚。主动脉瓣上狭窄(SVAS)和外周肺动脉狭窄(PPAS)是WS常见的血管异常。SVAS和PPAS的自然病程各不相同,手术或干预时机根据血管狭窄的进展情况确定。在我们的患者中,SVAS和PPAS在出生后两周内迅速同时进展。我们报告了新生儿期SVAS和PPAS的早期表现,并描述了缓解狭窄的手术治疗方法。