Obeidat Monther, Qawasmeh Yazan, Tarawneh Hani, Sawalhah Ibrahim, Tawalbeh Ala'a
Queen Alia Heart Institute, Pediatric Cardiology, Royal Medical Services, Amman, Jordan.
Queen Rania Hospital, Pediatrics, Royal Medical Services, Amman, Jordan.
J Saudi Heart Assoc. 2018 Jan;30(1):66-68. doi: 10.1016/j.jsha.2017.04.001. Epub 2017 Apr 21.
We report a newborn female baby who presented at 6 hours of age with cyanosis without any signs of respiratory distress. Cardiovascular and systemic examination was unremarkable apart from cyanosis (saturation 75%). An echocardiogram showed multiple echogenic and homogeneous masses in the interventricular septum, one of which was big and protruding through the tricuspid valve causing right ventricular inflow obstruction. There was a small atrial septal defect (ASD) shunting right to left and patent ductus arteriosus (PDA) shunting left to right. The provisional diagnosis was rhabdomyoma. Blalock-Taussig shunt was done to preserve the tricuspid valve, because these masses tend to regress spontaneously, which was the case after few months. Subsequently, the patient was diagnosed with tuberous sclerosis.
我们报告了一名新生女婴，她在出生6小时时出现青紫，无任何呼吸窘迫迹象。除青紫（血氧饱和度75%）外，心血管和全身检查无异常。超声心动图显示室间隔有多个回声增强且均匀的肿块，其中一个较大，穿过三尖瓣突出，导致右心室流入道梗阻。有一个小型房间隔缺损（ASD），右向左分流，以及动脉导管未闭（PDA），左向右分流。初步诊断为横纹肌瘤。由于这些肿块往往会自行消退（几个月后确实如此），为保留三尖瓣进行了Blalock-Taussig分流术。随后，该患者被诊断为结节性硬化症。
