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产前表现为功能性三尖瓣和肺动脉闭锁的心肌病。

Cardiomyopathy presenting prenatally with functional tricuspid and pulmonary atresia.

作者信息

Patel Reema, Peterson Renuka

机构信息

Saint Louis University School of Medicine, St. Louis, MO, USA.

出版信息

Echocardiography. 2019 Sep;36(9):1779-1782. doi: 10.1111/echo.14446. Epub 2019 Aug 5.

Abstract

Cardiomyopathy is a rare diagnosis in the fetus that usually presents as a dilated, poorly functioning ventricle. We present the case of a fetus that developed functional tricuspid and pulmonary atresia due to progressive right ventricular cardiomyopathy. The baby was supported with prostaglandin and inotropic infusions after delivery, eventually weaning off without need for surgical intervention. This case illustrates the prenatal findings that evolved and the successful postnatal management.

摘要

心肌病在胎儿中是一种罕见的诊断,通常表现为心室扩张、功能不良。我们报告一例因进行性右心室心肌病导致功能性三尖瓣和肺动脉闭锁的胎儿病例。婴儿出生后接受前列腺素和强心药物输注支持,最终无需手术干预即成功脱机。本病例说明了产前检查结果的演变以及产后的成功管理。

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