Inatomi Ayako, Sasahara Jun, Ishii Keisuke, Nobuaki Mistuda
Department of Maternal-Fetal Medicine, Osaka Medical Center and Research Institute for Maternal and Child Health, 840, Murodocho, Izumi, Osaka, 594-1101, Japan.
J Med Ultrason (2001). 2018 Apr;45(2):337-340. doi: 10.1007/s10396-017-0807-4. Epub 2017 Jul 19.
We describe the case of a neonate who was prenatally diagnosed at a gestational age of 36 weeks with premature constriction of the ductus arteriosus. Blood from the thin ductus arteriosus flowed toward the pulmonary artery. Severe tricuspid regurgitation was also observed. We subsequently confirmed rupture of the tricuspid papillary muscle after birth. Cardiotonic drugs and nitric oxide were administered immediately at birth for pulmonary hypertension, and this therapy was continued until the seventh postnatal day. Emergency tricuspid valve repair was unnecessary, because there were no signs of severe circulatory insufficiency. This case suggests a relationship between prenatally diagnosed premature constriction of the ductus arteriosus and tricuspid papillary muscle rupture in neonates.
我们描述了一例在孕36周时经产前诊断为动脉导管过早缩窄的新生儿病例。来自细小动脉导管的血液流向肺动脉。还观察到严重的三尖瓣反流。随后我们在出生后证实了三尖瓣乳头肌破裂。出生时立即给予强心药物和一氧化氮治疗肺动脉高压,该治疗持续至出生后第7天。由于没有严重循环功能不全的迹象,无需进行紧急三尖瓣修复。该病例提示产前诊断的新生儿动脉导管过早缩窄与三尖瓣乳头肌破裂之间存在关联。