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产前诊断的三尖瓣发育异常病例：一例病例报告并文献复习

Prenatally diagnosed case of tricuspid valve dysplasia: A case report with review of the literature.

作者信息

Agarwal Prateek, Agarwal Rajesh

机构信息

Department of Radiodiagnosis, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India.

Department of Ultrasound, Meera Hospital, Shiv Marg, Bani Park, Jaipur, Rajasthan, India.

出版信息

Indian J Radiol Imaging. 2019 Oct-Dec;29(4):452-456. doi: 10.4103/ijri.IJRI_463_18. Epub 2019 Dec 31.

DOI:10.4103/ijri.IJRI_463_18
PMID:31949352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6958872/
Abstract

We present a case of fetal tricuspid valve dysplasia (TVD) and pulmonary atresia, diagnosed during a routine obstetric ultrasound scan. Serial fetal echocardiographic evaluations revealed progressively augmented prodigious thickening of the tricuspid valvular and subvalvular structures, which eventually extensively obliterated the right ventricle cavity. Thickened dysplastic valve displayed a "cotton-wool" appearance. Unusual configurations of three vessels in the three-vessel view were also observed on a consecutive gray scale and color Doppler scans. During pregnancy, the fetus exhibited satisfactory growth parameters, and complications of progressive hemodynamic compromise associated with TVD and pulmonary atresia such as grievous hydrops or arrhythmia did not develop till 39 weeks of gravidity.

摘要

我们报告一例胎儿三尖瓣发育异常（TVD）合并肺动脉闭锁的病例，该病例在常规产科超声扫描时被诊断出来。系列胎儿超声心动图评估显示，三尖瓣及其瓣膜下结构逐渐出现显著增厚，最终广泛闭塞右心室腔。增厚的发育异常瓣膜呈现“棉絮”样外观。在连续的灰阶和彩色多普勒扫描中，还观察到三血管切面中三条血管的异常形态。孕期胎儿生长参数良好，直至孕39周，与TVD和肺动脉闭锁相关的进行性血流动力学损害并发症，如严重水肿或心律失常均未发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/6ddae6333482/IJRI-29-452-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/b083aed46eb4/IJRI-29-452-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/0f4c6882e340/IJRI-29-452-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/101f7ffc4979/IJRI-29-452-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/ac4b5efecfaa/IJRI-29-452-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/62e1d925dee2/IJRI-29-452-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/6ddae6333482/IJRI-29-452-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/b083aed46eb4/IJRI-29-452-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/0f4c6882e340/IJRI-29-452-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/101f7ffc4979/IJRI-29-452-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/ac4b5efecfaa/IJRI-29-452-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/62e1d925dee2/IJRI-29-452-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b1/6958872/6ddae6333482/IJRI-29-452-g006.jpg

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本文引用的文献

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Assessment of Progressive Pathophysiology After Early Prenatal Diagnosis of the Ebstein Anomaly or Tricuspid Valve Dysplasia.Ebstein畸形或三尖瓣发育异常的产前早期诊断后进行性病理生理学评估。
Am J Cardiol. 2017 Jan 1;119(1):106-111. doi: 10.1016/j.amjcard.2016.09.022. Epub 2016 Sep 29.
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Unguarded tricuspid orifice---a rare cause of fetal right atrial dilatation with characteristic color doppler sign: Case report with review of literature.
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