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成人心力衰竭合并婴儿型主动脉缩窄

Infantile Aortic Coarctation in an Adult with Heart Failure.

作者信息

Rumiz Eva, Valero Ernesto, Vilar Juan Vicente, Santas Enrique, Haba Javier

机构信息

Department of Cardiology, Hospital Quirón, Valencia, Spain.

出版信息

Med Princ Pract. 2017;26(2):185-188. doi: 10.1159/000452953. Epub 2016 Oct 31.

DOI:10.1159/000452953
PMID:27798937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5588351/
Abstract

OBJECTIVE

The aim of this case report is to highlight the importance of excluding aortic coarctation in a patient with a bicuspid aortic valve.

CLINICAL PRESENTATION AND INTERVENTION

A 56-year-old woman with hypertension was admitted complaining of progressive dyspnea. Transthoracic echocardiography showed a calcified, bicuspid aortic valve with severe stenosis. Aortography revealed the presence of severe narrowing of the aorta between the carotid and subclavian arteries. The patient was referred for cardiovascular surgery in which successful aortic valve replacement and aortic correction were performed.

CONCLUSION

This case report shows an uncommon finding of infantile aortic coarctation in an adult patient admitted with heart failure.

摘要

目的

本病例报告旨在强调在患有二叶式主动脉瓣的患者中排除主动脉缩窄的重要性。

临床表现与干预

一名56岁患有高血压的女性因进行性呼吸困难入院。经胸超声心动图显示钙化的二叶式主动脉瓣伴严重狭窄。主动脉造影显示颈动脉和锁骨下动脉之间的主动脉存在严重狭窄。该患者被转至心血管外科，成功进行了主动脉瓣置换和主动脉矫正手术。

结论

本病例报告显示了一名因心力衰竭入院的成年患者出现罕见的婴儿型主动脉缩窄。

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本文引用的文献

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Coarctation of the aorta: Management from infancy to adulthood.主动脉缩窄：从婴儿期到成年期的管理
World J Cardiol. 2015 Nov 26;7(11):765-75. doi: 10.4330/wjc.v7.i11.765.
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Congenital heart disease in the older adult: a scientific statement from the American Heart Association.老年成人先天性心脏病：美国心脏协会的科学声明
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Long-term follow-up of persistent truncus arteriosus: Kuwait experience.持久动脉干的长期随访：科威特经验。
Med Princ Pract. 2012;21(3):277-81. doi: 10.1159/000334590. Epub 2011 Dec 27.
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Bicuspid aortic valve and coarctation: two villains part of a diffuse problem.二叶式主动脉瓣与主动脉缩窄：同一弥漫性问题中的两个“元凶”。
Heart. 2003 Sep;89(9):965-6. doi: 10.1136/heart.89.9.965.
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Coarctation of the aorta: a study in delayed detection.主动脉缩窄：延迟诊断的一项研究。
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