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胎儿右心室动脉瘤的诊断:三例报告。

Fetal diagnosis of right cardiac ventricular aneurysms: A report of three cases.

作者信息

Athiel Yoann, Barrois Mathilde, Bault Jean-Philippe, Cohen Laurence, Leroy Brigitte, Quibel Thibaud

机构信息

Department of Gynecology and Obstetrics, CHI Poissy-Saint-Germain, 10, rue du Champ-Gaillard, 78300 Poissy, France.

Department of Gynecology and Obstetrics, CHI Poissy-Saint-Germain, 10, rue du Champ-Gaillard, 78300 Poissy, France.

出版信息

J Gynecol Obstet Hum Reprod. 2018 Nov;47(9):481-485. doi: 10.1016/j.jogoh.2018.06.004. Epub 2018 Jun 20.

Abstract

Congenital ventricular aneurysms and diverticula are rare congenital heart diseases, currently accessible to prenatal diagnosis. Information on the natural course of ventricular aneurysm or diverticulum detected during fetal life is limited as there are only few case reports and case series enumerating the defect. We aimed to describe through three cases, the prenatal features and clinical outcomes of fetal cardiac aneurysms. The first one was diagnosed during the second trimester and spontaneous evolution was favorable. The two others were diagnosed in the first trimester with a large and early pericardial effusion. For one, the parents opted for termination of pregnancy at 15 weeks of gestation and the other showed a spontaneous regression of the effusion and no hemodynamic compromise.

摘要

先天性心室动脉瘤和憩室是罕见的先天性心脏病,目前可进行产前诊断。关于胎儿期检测到的心室动脉瘤或憩室的自然病程的信息有限,因为仅有少数病例报告和病例系列列举了该缺陷。我们旨在通过三个病例描述胎儿心脏动脉瘤的产前特征和临床结局。第一个病例在孕中期被诊断出,自发演变情况良好。另外两个病例在孕早期被诊断出,伴有大量且早期出现的心包积液。其中一个病例,父母选择在妊娠15周时终止妊娠,另一个病例则显示心包积液自发消退且无血流动力学损害。

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