ElSeed Peterson Erica E, Mauriello Daniel
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.
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。
