Madhuban Andjenie, van den Heuvel Freek, van Stuijvenberg Margriet
Department of Pediatrics, Radboud University Medical Center, Nijmegen, the Netherlands.
Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, the Netherlands.
Child Neurol Open. 2016 Apr 4;3:2329048X15624704. doi: 10.1177/2329048X15624704. eCollection 2016 Jan-Dec.
The authors report the case of a neonate presenting with signs of a congenital cardiac disease. Echocardiography showed a structural normal heart, right-to-left ductal flow, a dilated superior caval vein, and reversed diastolic flow in the proximal descending aorta. Brain magnetic resonance imaging showed a vein of Galen arteriovenous malformation. This highlights the importance of considering an intracranial cause in the differential diagnosis of neonatal congestive heart failure.
作者报告了一例表现出先天性心脏病体征的新生儿病例。超声心动图显示心脏结构正常、存在右向左的导管分流、上腔静脉扩张以及降主动脉近端舒张期血流逆转。脑部磁共振成像显示大脑大静脉动静脉畸形。这突出了在新生儿充血性心力衰竭的鉴别诊断中考虑颅内病因的重要性。