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罕见病例中,针对合并先天性矫正型大动脉转位和二叶式主动脉瓣的缩窄进行支架植入术。

Coarctation Stenting in a Rare Case with Congenitally Corrected Transposition of the Great Arteries and the Bicuspid Aortic Valve.

作者信息

Khajali Zahra, Maleki Majid, Mohebbi Bahram, Aliramezany Maryam

机构信息

Department of Cardiovascular Medicine, Shaheed Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

J Tehran Heart Cent. 2020 Jan;15(1):27-30.

Abstract

Congenitally corrected transposition of the great arteries (cc-TGA) is a rare congenital abnormality that occurs in 1 per 33000 live births. This abnormality comprises nearly 0.05% of all congenital heart defects, with at least 90% of cc-TGA patients having associated cardiac defects; some of these associated defects are, however, very rare. In this case report, we describe a 22-year-old man who referred to our hospital for the evaluation of hypertension and cardiac murmurs. Via echocardiography and catheterization, the patient was finally diagnosed with cc-TGA, bicuspid aortic valve, and coarctation of the aorta. He underwent successful percutaneous transarterial coarctoplasty without any complications at early and 6 months' follow-up visits.

摘要

先天性矫正型大动脉转位(cc-TGA)是一种罕见的先天性异常,活产儿中的发病率为1/33000。这种异常约占所有先天性心脏缺陷的0.05%,至少90%的cc-TGA患者伴有心脏缺陷;然而,其中一些相关缺陷非常罕见。在本病例报告中,我们描述了一名22岁男性,他因高血压和心脏杂音到我院就诊。通过超声心动图和心导管检查,最终诊断该患者患有cc-TGA、二叶式主动脉瓣和主动脉缩窄。他接受了成功的经皮动脉内缩窄成形术,早期及6个月随访均无任何并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e49/7360863/274f91cd5823/JTHC-15-27-g001.jpg

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