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.
• 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.
• 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。
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