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膜周部室间隔缺损的自然闭合：一种具有两面性的情况。

Spontaneous Closure of Perimembranous Ventricular Septal Defects: A Janus-Faced Condition.

作者信息

Bride Peter, Kaestner Michael, Radermacher Michael, Vitanova Keti, von Scheidt Fabian, Scharnbeck Dominik, Apitz Christian

机构信息

Division of Adult Congenital Heart Disease, Ulm University Hospital, Ulm, Germany.

Division of Pediatric Cardiology, Children's Hospital, Ulm University, Ulm, Germany.

出版信息

CASE (Phila). 2019 Oct 7;4(2):103-105. doi: 10.1016/j.case.2019.08.005. eCollection 2020 Apr.

DOI:10.1016/j.case.2019.08.005
PMID:32337401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7175755/
Abstract

• Large perimembranous VSDs can occasionally close spontaneously by a septal aneurysm. • Complications of aneurysmatic VSD closure include RVOT obstruction. • The use of multimodal imaging allows accurate diagnosis of RVOT obstruction. • RVOT obstruction due to septal aneurysm is preferably treated by surgical excision. • Patients with aneurysmatic closure of perimembranous VSD need life-long observation.

摘要

• 大型膜周部室间隔缺损偶尔可通过室间隔瘤自发闭合。

• 室间隔瘤闭合的并发症包括右心室流出道梗阻。

• 使用多模态成像可准确诊断右心室流出道梗阻。

• 因室间隔瘤导致的右心室流出道梗阻最好通过手术切除治疗。

• 膜周部室间隔缺损合并室间隔瘤闭合的患者需要终身观察。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/929687c9d874/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/2cc183bfc12d/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/da8ac3dd353f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/b2bf3f5bdd2a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/61a12ccea8c8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/929687c9d874/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/2cc183bfc12d/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/da8ac3dd353f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/b2bf3f5bdd2a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/61a12ccea8c8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae82/7175755/929687c9d874/gr4.jpg

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Spontaneous Closure Rates of Ventricular Septal Defects (6,750 Consecutive Neonates).室间隔缺损（6750 例连续新生儿）的自然闭合率。
Am J Cardiol. 2019 Aug 15;124(4):613-617. doi: 10.1016/j.amjcard.2019.05.022. Epub 2019 May 25.
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Pulmonary hypertension in adults with congenital heart disease: Updated recommendations from the Cologne Consensus Conference 2018.成人先天性心脏病相关肺动脉高压：2018 年科隆共识会议更新建议。
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A Membranous Septal Aneurysm Causing Right Ventricular Outflow Tract Obstruction in an Adult.
一名成年患者中导致右心室流出道梗阻的膜性间隔动脉瘤
J Cardiovasc Echogr. 2017 Oct-Dec;27(4):145-148. doi: 10.4103/jcecho.jcecho_21_17.
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Contribution of giant aneurysm of a membranous ventricular septal defect to right ventricular outflow tract obstruction.膜周部室间隔缺损巨大动脉瘤对右心室流出道梗阻的影响
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Frequency and spectrum of congenital heart defects among live births in Germany : a study of the Competence Network for Congenital Heart Defects.德国活产儿先天性心脏病的频率和频谱：先天性心脏病能力网络研究。
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[Subpulmonary obstruction caused by an aneurysm of the membranous ventricular septum. A study of 2 cases].[膜性室间隔动脉瘤致肺动脉瓣下梗阻。2例研究]
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