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法洛四联症中的罕见相关异常：婴儿中的弯刀综合征。

A Rare Associated Anomaly in Tetralogy of Fallot: Scimitar Syndrome in an Infant.

机构信息

Department of Pediatric Cardiology, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey.

出版信息

Braz J Cardiovasc Surg. 2021 Aug 6;36(4):578-580. doi: 10.21470/1678-9741-2020-0185.

DOI:10.21470/1678-9741-2020-0185
PMID:33355797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8522306/
Abstract

Pulmonary venous connections may be infrequently abnormal in patients with tetralogy of Fallot (TOF). A special subgroup of partial anomalous pulmonary venous return,"scimitar cyndrome", and its coexistence with TOF is less frequently reported. It may proceed unnoticed, as cyanosis already predominates in the clinical picture. This uncommon association must be kept in mind for patients with TOF who have an accessory flow in the inferior vena cava, especially when all pulmonary venous return to the left atrium is not clearly seen.

摘要

肺静脉连接在法洛四联症（TOF）患者中可能不常出现异常。部分肺静脉异常回流的一个特殊亚组，“弯刀综合征”，及其与 TOF 的共存，报道较少。由于临床上已经存在紫绀，因此可能未被注意到。对于存在下腔静脉附加血流的 TOF 患者，特别是当并非所有肺静脉均回流至左心房时，必须牢记这种不常见的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d43/8522306/d2b2bcc3dede/rbccv-36-04-0578-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d43/8522306/d2b2bcc3dede/rbccv-36-04-0578-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d43/8522306/d2b2bcc3dede/rbccv-36-04-0578-g01.jpg

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A bleeding sword: Scimitar syndrome in a child with hematemesis due to esophageal varices - a case report.一把带血的剑：一名因食管静脉曲张呕血的儿童的弯刀综合征——病例报告
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本文引用的文献

1
Tetralogy of Fallot with total anomalous pulmonary venous drainage.
Ann Thorac Surg. 2008 Dec;86(6):1937-40. doi: 10.1016/j.athoracsur.2008.07.093.
2
A case series of five infants with scimitar syndrome.一例包含五名患有弯刀综合征婴儿的病例系列。
Adv Neonatal Care. 2003 Jun;3(3):121-32. doi: 10.1016/s1536-0903(03)00106-1.
3
Tetralogy of Fallot associated with scimitar syndrome.法洛四联症合并弯刀综合征。
Cardiol Young. 2000 Jan;10(1):70-2. doi: 10.1017/s1047951100006454.
4
Scimitar syndrome in infancy.婴儿期弯刀综合征
J Am Coll Cardiol. 1993 Sep;22(3):873-82. doi: 10.1016/0735-1097(93)90206-g.
5
Tetralogy of Fallot with anomalous pulmonary venous connections: a rare but clinically important association.法洛四联症合并肺静脉连接异常：一种罕见但具有临床重要性的关联。
Br Heart J. 1990 Nov;64(5):325-8. doi: 10.1136/hrt.64.5.325.