婴儿动脉导管未闭结扎术后综合征伴高血压及肾动脉狭窄的隐匿性表现
Post-Patent Ductus Arteriosus ligation syndrome with hypertension and masking of renal artery stenosis in an infant.
作者信息
ElSeed Peterson Erica E, Mauriello Daniel
机构信息
1Department of Pediatrics,University of South Florida,Resident Physician,Tampa,FL,USA.
2Division of Pediatric Cardiology,Johns Hopkins All Children's Assistant Professor,St. Petersburg,FL,USA.
出版信息
Cardiol Young. 2018 May;28(5):737-738. doi: 10.1017/S1047951117002803. Epub 2018 Feb 7.
Post-patent ductus arteriosus ligation syndrome is common, but rarely has hypertension been described following ductal ligation with an unclear mechanism. We report a case of an infant who exhibited features of post-patent ductus arteriosus ligation syndrome and hypertension, but was found to have bilateral renal artery stenosis. Increased systemic vascular resistance can be masked by the parallel circuit physiology of a patent ductus arteriosus.
动脉导管未闭结扎术后综合征很常见，但导管结扎后出现高血压的情况却鲜有报道，其机制尚不清楚。我们报告一例婴儿，该婴儿表现出动脉导管未闭结扎术后综合征及高血压的特征，但发现其患有双侧肾动脉狭窄。动脉导管未闭的并联循环生理状态可掩盖体循环血管阻力的增加。
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