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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.

DOI:10.1055/s-0038-1675631
PMID:30723573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6358456/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b780/6358456/8d4845490570/10-1055-s-0038-1675631-i180048-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b780/6358456/8d4845490570/10-1055-s-0038-1675631-i180048-1.jpg

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本文引用的文献

1
Spontaneous aortic arch thrombosis in a neonate.新生儿自发性主动脉弓血栓形成
J Thorac Cardiovasc Surg. 2013 Sep;146(3):e15-6. doi: 10.1016/j.jtcvs.2013.05.005. Epub 2013 Jun 29.
2
Human cytomegalovirus infection is detected frequently in stillbirths and is associated with fetal thrombotic vasculopathy.人巨细胞病毒感染在死胎中经常被检测到，并与胎儿血栓性血管病变有关。
J Infect Dis. 2011 Jun 1;203(11):1526-33. doi: 10.1093/infdis/jir121.
3
Thrombosis associated with acute cytomegalovirus infection: a meta-analysis.与急性巨细胞病毒感染相关的血栓形成：一项荟萃分析。
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Neonatal aortic thrombosis: a comprehensive review.
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The prognostic value of ultrasound abnormalities and biological parameters in blood of fetuses infected with cytomegalovirus.巨细胞病毒感染胎儿超声异常及血液生物学参数的预后价值
BJOG. 2008 Jun;115(7):823-9. doi: 10.1111/j.1471-0528.2008.01714.x.
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Arterial thrombosis in children.儿童动脉血栓形成
Expert Rev Cardiovasc Ther. 2008 Mar;6(3):419-28. doi: 10.1586/14779072.6.3.419.
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Hearing loss in children with congenital cytomegalovirus infection born to mothers with preexisting immunity.母亲具有既往免疫力的先天性巨细胞病毒感染患儿的听力损失
J Pediatr. 2006 Mar;148(3):332-6. doi: 10.1016/j.jpeds.2005.09.003.
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Congenital cytomegalovirus infection: association between virus burden in infancy and hearing loss.先天性巨细胞病毒感染：婴儿期病毒载量与听力损失之间的关联
J Pediatr. 2005 Jun;146(6):817-23. doi: 10.1016/j.jpeds.2005.01.059.
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Maternal immunity and prevention of congenital cytomegalovirus infection.母体免疫与先天性巨细胞病毒感染的预防
JAMA. 2003 Feb 26;289(8):1008-11. doi: 10.1001/jama.289.8.1008.
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Neonatal aortic arch thrombosis as a result of congenital cytomegalovirus infection.先天性巨细胞病毒感染导致的新生儿主动脉弓血栓形成。
Pediatrics. 2001 Dec;108(6):E114. doi: 10.1542/peds.108.6.e114.