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无威廉姆斯综合征的孤立性瓣上主动脉狭窄

Isolated Supravalvar Aortic Stenosis Without William's Syndrome.

作者信息

Cuenza Lucky Romero, Adiong Areefah Alonto

机构信息

Department of Adult Cardiology, Philippine Heart Center, Quezon City, Metro Manila, Philippines.

Section of Non Invasive Cardiology, Philippine Heart Center, Quezon City, Metro Manila, Philippines.

出版信息

J Cardiovasc Echogr. 2015 Jul-Sep;25(3):93-95. doi: 10.4103/2211-4122.166089.

Abstract

Supravalvular aortic stenosis, characterized by narrowing of the ascending aorta above the valve, is the least common form of left ventricular outflow tract obstruction and is usually associated with William's syndrome. We present a case of a 27-year-old male with isolated supravalvar aortic stenosis (SVAS) presenting with heart failure. This case underscores the fact that in rare cases sporadic SVAS can occur in isolation without the classic findings of William's syndrome and highlighting the importance of integration of clinical and echocardiographic recognition for definitive management.

摘要

瓣上主动脉狭窄的特征是瓣膜上方的升主动脉狭窄,是左心室流出道梗阻最不常见的形式,通常与威廉姆斯综合征相关。我们报告一例27岁男性孤立性瓣上主动脉狭窄(SVAS)伴心力衰竭的病例。该病例强调了在罕见情况下,散发性SVAS可单独发生而无威廉姆斯综合征的典型表现,突出了临床和超声心动图识别相结合对明确治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca0b/5353414/af60b995d4e9/JCE-25-93-g001.jpg

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