成年期出现的大型未修复主肺动脉窗
Large Unrepaired Aortopulmonary Window Presenting in Adulthood.
作者信息
Dev Munish, Sharma Madhurima, Rana Naresh
机构信息
Department of Radiology, Dr. Rajendra Prasad Government Medical College Kangra at Tanda, Himachal Pradesh, Pin: 176001, India.
Department of Cardiology, Dr. Rajendra Prasad Government Medical College Kangra at Tanda, Himachal Pradesh, Pin: 176001, India.
出版信息
Curr Cardiol Rev. 2020;16(1):73-76. doi: 10.2174/1573403X15666190513105231.
BACKGROUND
Aortopulmonary window is an uncommon congenital heart disease, with untreated cases not surviving beyond childhood. However, very rarely it can present in adult patients with features of pulmonary hypertension. Clinically these patients cannot be differentiated from other more common conditions with left to right shunt. Transthoracic echocardiography if performed meticulously, can depict the defect in aortopulmonary septum.
RESULTS
We report a case of large unrepaired aortopulmonary window in a 23 years old patient, diagnosed on transthoracic echocardiography.
背景
主肺动脉窗是一种罕见的先天性心脏病，未经治疗的病例在儿童期后无法存活。然而，极少数情况下它可出现在患有肺动脉高压特征的成年患者中。临床上，这些患者无法与其他更常见的左向右分流疾病相鉴别。如果操作细致，经胸超声心动图可显示主肺动脉间隔缺损。
结果
我们报告一例23岁未修复的大型主肺动脉窗病例，通过经胸超声心动图诊断。
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