伪装成复发性室间隔缺损的先天性主动脉瓣周隧道

Congenital aortic paravalvular tunnel masquerading as a recurrent ventricular septal defect.

作者信息

Bakas Anna M, Vardas Panos N, Farrell Anne G, Rodefeld Mark D

机构信息

Divisions of Cardiothoracic Surgery, Riley Hospital for Children at IU Health, Indiana University School of Medicine, Indianapolis, Indiana.

Divisions of Cardiology, Riley Hospital for Children at IU Health, Indiana University School of Medicine, Indianapolis, Indiana.

出版信息

J Card Surg. 2018 May;33(5):289-291. doi: 10.1111/jocs.13573. Epub 2018 Apr 11.

DOI:10.1111/jocs.13573

PMID:29638016

Abstract

A 4-year-old female underwent surgical repair of an unusual variation of an aorto-left ventricular tunnel (ALVT). Serial echocardiograms had demonstrated previous spontaneous closure of a perimembranous ventricular septal defect (VSD). The patient presented with concern for residual VSD which was later demonstrated to be an eccentric jet through an ALVT. This case emphasizes early and accurate diagnosis for ALVTs and how they can be misdiagnosed as VSDs.

摘要

一名4岁女性接受了主动脉-左心室隧道（ALVT）异常变异的手术修复。系列超声心动图显示之前膜周部室间隔缺损（VSD）已自然闭合。该患者因担心存在残余VSD前来就诊，后来发现是通过ALVT的偏心血流束。本病例强调了ALVT的早期准确诊断以及它们如何被误诊为VSD。