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与胎儿巨细胞病毒血症相关的主动脉弓血栓形成

Aortic Arch Thrombosis Associated with Fetal Cytomegalovirus Viremia.

作者信息

Yapar Eyi Elif Gul, Altuğ Nahide

机构信息

Perinatology Subdivision, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

Pediatric Cardiology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

出版信息

AJP Rep. 2019 Jan;9(1):e23-e26. doi: 10.1055/s-0038-1675631. Epub 2019 Feb 1.

Abstract

Cytomegalovirus(CMV) associated thrombosis has been reported sporadically in the medical literature; however, its antenatal scenario has not been documented. We herein present the antenatal, Doppler's ultrasound and magnetic resonance angiographic features of thrombosis in the aortic arch showing extension toward the medial lumen of the brachiocephalic trunk with critical occlusion of the left common carotid artery and left subclavian artery in a term fetus to raise obstetricians'/ neonatologists'/pediatric cardiologists' awareness for the association between CMV viremia and intrauterine thrombosis that caused cerebral injury, neurodevelopmental impairment, and permanent sequela.

摘要

巨细胞病毒(CMV)相关血栓形成在医学文献中已有零星报道;然而,其产前情况尚未见记载。我们在此呈现一名足月胎儿主动脉弓血栓形成的产前、多普勒超声及磁共振血管造影特征,该血栓向头臂干内侧管腔延伸,导致左颈总动脉和左锁骨下动脉严重闭塞,以提高产科医生/新生儿科医生/儿科心脏病专家对CMV病毒血症与宫内血栓形成之间关联的认识,这种关联可导致脑损伤、神经发育障碍和永久性后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b780/6358456/8d4845490570/10-1055-s-0038-1675631-i180048-1.jpg

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