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三尖瓣和肺动脉闭锁合并主动脉缩窄:一种罕见的组合,可能是由于第五主动脉弓持续存在并伴有体循环至肺动脉连接所致。

Tricuspid and pulmonary atresia with coarctation of the aorta: a rare combination possibly explained by persistence of the fifth aortic arch with a systemic-to-pulmonary arterial connection.

作者信息

Freedom R M, Silver M, Miyamura H

机构信息

Department of Pathology, University of Toronto Faculty of Medicine, Canada.

出版信息

Int J Cardiol. 1989 Aug;24(2):241-5. doi: 10.1016/0167-5273(89)90314-8.

DOI:10.1016/0167-5273(89)90314-8
PMID:2767804
Abstract

A ten-day old baby was found to have tricuspid and pulmonary atresia, and a "ductal-dependent" pulmonary circulation that was prostaglandin-sensitive. An unusual coarctation of the aorta was not recognised until an autopsy was performed, some 11 days after construction of an aortopulmonary shunt. A previously undefined anomaly in this neonate was persistence of the fifth aortic arch with a systemic-to-pulmonary artery connection on the same side as the definitive aorta. The histology of the fifth aortic arch is consistent with the pattern of an arterial duct.

摘要

一名10天大的婴儿被发现患有三尖瓣和肺动脉闭锁,以及对前列腺素敏感的“动脉导管依赖型”肺循环。在进行主动脉-肺动脉分流术约11天后进行尸检时,才发现主动脉存在一种不寻常的缩窄。该新生儿之前未明确的异常是第五主动脉弓持续存在,且与最终主动脉同侧存在体循环至肺动脉的连接。第五主动脉弓的组织学与动脉导管的模式一致。

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1
Tricuspid and pulmonary atresia with coarctation of the aorta: a rare combination possibly explained by persistence of the fifth aortic arch with a systemic-to-pulmonary arterial connection.三尖瓣和肺动脉闭锁合并主动脉缩窄:一种罕见的组合,可能是由于第五主动脉弓持续存在并伴有体循环至肺动脉连接所致。
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引用本文的文献

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Persistent fifth aortic arch diagnosed by echocardiography and confirmed by angiography: Case report and literature review.经超声心动图诊断并经血管造影证实的持续性第五主动脉弓:病例报告及文献复习
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Pulmonary atresia with intact ventricular septum coexisting with coarctation of the aorta.室间隔完整的肺动脉闭锁合并主动脉缩窄。
Pediatr Cardiol. 2007 Sep-Oct;28(5):406-8. doi: 10.1007/s00246-006-1411-3. Epub 2007 Aug 8.
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Rare types of aortic arch anomalies.罕见类型的主动脉弓异常。
Pediatr Cardiol. 1993 Mar;14(2):93-101. doi: 10.1007/BF00796987.
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Pulmonary blood supply by a branch from the distal ascending aorta in pulmonary atresia with ventricular septal defect: differential diagnosis of fifth aortic arch.
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