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一例罕见的成人主肺动脉窗合并右肺动脉起源于主动脉异常并导致艾森曼格综合征

A Rare Case of Adult Aortopulmonary Window Combined with Anomalous Origin of the Right Pulmonary Artery from the Aorta Leading to Eisenmenger Syndrome.

作者信息

Cui Mingyue, Xia Binfeng, Wang Heru, Liu Haihui, Yin Xia

机构信息

Center for Cardiovascular Medicine, The First Hospital of Jilin University, Changchun, China.

Department of Cardiac Ultrasound, The First Hospital of Jilin University, Changchun, China.

出版信息

J Int Med Res. 2021 Jan;49(1):300060520984656. doi: 10.1177/0300060520984656.

DOI:10.1177/0300060520984656
PMID:33472471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7829515/
Abstract

Aortopulmonary window is a rare congenital heart disease that can increase pulmonary vascular resistance, exacerbate left-to-right shunt and lead to heart failure and respiratory tract infections. Most patients die during childhood. We report a 53-year-old male patient with a large aortopulmonary window combined with anomalous origin of the right pulmonary artery from the aorta, with Eisenmenger syndrome and without surgery.

摘要

主肺动脉窗是一种罕见的先天性心脏病,可增加肺血管阻力,加重左向右分流,并导致心力衰竭和呼吸道感染。大多数患者在儿童期死亡。我们报告一例53岁男性患者,患有大型主肺动脉窗并合并右肺动脉起源于主动脉异常,患有艾森曼格综合征且未接受手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d81c/7829515/0e3101a21f56/10.1177_0300060520984656-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d81c/7829515/f934200206d7/10.1177_0300060520984656-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d81c/7829515/4c61ce6c3727/10.1177_0300060520984656-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d81c/7829515/0e3101a21f56/10.1177_0300060520984656-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d81c/7829515/f934200206d7/10.1177_0300060520984656-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d81c/7829515/4c61ce6c3727/10.1177_0300060520984656-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d81c/7829515/0e3101a21f56/10.1177_0300060520984656-fig3.jpg

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本文引用的文献

1
Aortopulmonary window in adults: A rare entity leading to Eisenmenger syndrome.成人主肺动脉窗:一种导致艾森曼格综合征的罕见病症。
Echocardiography. 2019 Jun;36(6):1173-1178. doi: 10.1111/echo.14368. Epub 2019 May 22.
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Review of evidence for bosentan therapy for treatment of Eisenmenger syndrome.波生坦治疗艾森曼格综合征的证据综述。
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Surgical management of aortopulmonary window: 24 years of experience and lessons learned.主肺动脉窗的外科治疗:24年经验与教训
Interact Cardiovasc Thorac Surg. 2017 Aug 1;25(2):302-309. doi: 10.1093/icvts/ivx099.
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Aortopulmonary window: Morphology, diagnosis, and long-term results.主肺动脉窗:形态学、诊断及长期结果
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A Case of Aortopulmonary Window: Asymptomatic until the First Pregnancy.一例主肺动脉窗:妊娠前无症状。
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Aortopulmonary window: a rare untreated adult case.主肺动脉窗:一例罕见的未经治疗的成人病例。
Heart Lung Circ. 2014 Oct;23(10):e235-6. doi: 10.1016/j.hlc.2014.06.006. Epub 2014 Jun 26.
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The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development.《CARE指南:基于共识的临床病例报告指南制定》
Glob Adv Health Med. 2013 Sep;2(5):38-43. doi: 10.7453/gahmj.2013.008.
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Aortopulmonary window.主肺动脉窗
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2011;14(1):67-74. doi: 10.1053/j.pcsu.2011.01.017.
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Aortopulmonary window in adults: diagnosis and treatment of late-presenting patients.成人主肺动脉窗:迟发性患者的诊断与治疗
Congenit Heart Dis. 2008 Sep-Oct;3(5):341-6. doi: 10.1111/j.1747-0803.2008.00210.x.