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功能性三尖瓣狭窄:一种罕见的疑似先天性发绀型心脏病横纹肌瘤表现。

Functional tricuspid stenosis: a rare presentation of suspected rhabdomyoma as congenital cyanotic heart disease.

作者信息

Nair Anishkumar, Rajesh Gopalan Nair, Sajeev Chakanalil Govindan

机构信息

Department of Cardiology,Government Medical College,Kozhikode,Kerala,India.

出版信息

Cardiol Young. 2017 May;27(4):808-811. doi: 10.1017/S1047951116002110. Epub 2017 Jan 12.

Abstract

Cardiac tumours in newborns are often asymptomatic and can be sporadically detected on routine screening unless they result in intractable arrhythmias or haemodynamically significant obstructions causing heart failure. Their presentation as a cause of congenital cyanosis is never anticipated. We report a rare case of a newborn presenting with congenital cyanosis consequent to suspected cardiac rhabdomyoma causing tricuspid inflow obstruction. Our experience with this patient with two large cardiac masses illustrates the significance of its inclusion in the differential diagnosis of perinatal cyanosis, as early detection and surgical management might be the only lifesaving options, if performed well in time.

摘要

新生儿心脏肿瘤通常无症状,除非导致难治性心律失常或血流动力学上显著的梗阻从而引起心力衰竭,否则常在常规筛查时偶然发现。其作为先天性发绀的病因从未被预料到。我们报告了一例罕见的新生儿病例,该患儿因疑似心脏横纹肌瘤导致三尖瓣流入道梗阻而出现先天性发绀。我们对这位有两个巨大心脏肿块的患者的治疗经验表明,将其纳入围产期发绀的鉴别诊断具有重要意义,因为如果能及时进行早期检测和手术治疗,可能是唯一的救命选择。

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