Martínez-Villasante Aleman Alicia, López Socarrás Camilo, Muñoz Muñiz Raquel, Gutiérrez-Larraya Aguado Federico, Arias Novas Begoña
Servicio de Pediatría, Hospital Universitario Sanitas La Zarzuela, Madrid, España.
Servicio de Cardiología Pediátrica, Hospital Universitario Sanitas La Zarzuela, Madrid, España.
Arch Argent Pediatr. 2020 Feb;118(1):e67-e71. doi: 10.5546/aap.2020.e67.
Coarctation of the aorta in neonates can manifest as heart failure when there is a certain degree of obstruction. There are some situations that can simulate a coarctation of the aorta in newborns. Diagnosis of coarctation of the aorta based solely on the typical aortic arch image on echocardiography can be misleading and delay an accurate diagnosis. We describe an unusual case of a newborn with heart failure who was initially diagnosed with coarctation of the aorta and then with cerebral arteriovenous malformation. We must consider the cerebral arteriovenous malformation in the differential diagnosis of a newborn with heart failure.
新生儿主动脉缩窄在存在一定程度梗阻时可表现为心力衰竭。有一些情况可模拟新生儿主动脉缩窄。仅根据超声心动图上典型的主动脉弓图像来诊断主动脉缩窄可能会产生误导并延误准确诊断。我们描述了一例不寻常的新生儿心力衰竭病例，该患儿最初被诊断为主动脉缩窄，后来又被诊断为脑动静脉畸形。在对心力衰竭新生儿进行鉴别诊断时，我们必须考虑脑动静脉畸形。
