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胎儿先天性左右心室动脉瘤的产前诊断

Prenatal diagnosis of fetal right and left congenital ventricular aneurysms.

作者信息

Gowda Mamatha, Bharathi Shree, Thiagarajan Monica, Aneja Tripti

机构信息

a Department of Obstetrics and Gynecology , Jawaharlal Institute of Post Graduate Medical Education , Pondicherry , India.

出版信息

J Matern Fetal Neonatal Med. 2018 Sep;31(17):2367-2370. doi: 10.1080/14767058.2017.1342799. Epub 2017 Jun 28.

DOI:10.1080/14767058.2017.1342799
PMID:28614975
Abstract

AIM

To describe the ultrasonographic appearance of fetal ventricular aneurysm.

METHODS

Ultrasound characteristics of two cases of prenatally diagnosed fetal ventricular aneurysm were reviewed.

RESULTS

There was one case of left ventricular aneurysm diagnosed by prenatal ultrasound at 38 weeks of gestation. Another case of fetal right ventricular aneurysm was diagnosed prenatally at 36 weeks of gestation. Both the babies expired in the immediate post-natal period.

CONCLUSION

Congenital ventricular aneurysm is a rare cardiac malformation characterized by protrusion or out pouching of a portion of the ventricular wall. It is important to differentiate an aneurysm from diverticulum, as the latter has favorable prognosis. The aneurysms are usually large and have broad-based communication with the ventricular cavity in contrast to diverticuli, which are small and connected by a narrow base.

摘要

目的

描述胎儿心室动脉瘤的超声表现。

方法

回顾两例产前诊断为胎儿心室动脉瘤的超声特征。

结果

1例妊娠38周时经产前超声诊断为左心室动脉瘤。另1例胎儿右心室动脉瘤于妊娠36周时产前诊断。两名婴儿均在出生后不久死亡。

结论

先天性心室动脉瘤是一种罕见的心脏畸形,其特征为心室壁的一部分向外突出或膨出。将动脉瘤与憩室区分开来很重要,因为后者预后良好。与憩室不同,动脉瘤通常较大,与心室腔有宽基底相通,憩室较小,通过狭窄基底相连。

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