Section of Pediatric Cardiology, Department of Pediatrics, Rush University Medical Center, Chicago, IL, USA.
Division of Cardiology, Ann & Robert H. Lurie Children's Hospital of Chicago; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Pediatr Cardiol. 2020 Oct;41(7):1529-1531. doi: 10.1007/s00246-020-02432-w. Epub 2020 Jul 29.
Chiari network is an embryonic remnant of the right sinus venosus. It appears as a thin, fenestrated membrane attached to two or more regions within the right atrium. Usually, a Chiari network has a benign course; however, rare complications associated with a Chiari network have been reported. We present the case of a neonate with hypoxemia and a Chiari network protruding into the right ventricular inflow tract associated with right-to-left shunting across the patent foramen ovale throughout the cardiac cycle. We noted spontaneous improvement after 3 weeks of life.
Chiari 网是右窦静脉的胚胎残余物。它表现为附着在右心房内两个或多个区域的薄的、有孔的膜。通常,Chiari 网呈良性过程;然而,已有报道与 Chiari 网相关的罕见并发症。我们报告了一例新生儿出现低氧血症和 Chiari 网突出到右心室流入道,伴有卵圆孔未闭在整个心动周期的右向左分流。我们注意到出生后 3 周自发改善。