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镜像右位心及左位心合并房室不一致型双出口右心室:1例罕见病例报告

Atrioventricular Discordance with Double-Outlet Right Ventricle in Mirror Imagery and Levocardia: A Very Rare Case Report.

作者信息

Farruggio Silvia, Agati Salvatore, Calvaruso Davide, Mambro Corrado Di, Caruso Elio

机构信息

Mediterranean Pediatric Cardiology Center "Bambino Gesù", San Vincenzo Hospital, Taormina, ME, Italy.

出版信息

J Cardiovasc Echogr. 2020 Oct-Dec;30(4):227-230. doi: 10.4103/jcecho.jcecho_65_20. Epub 2021 Jan 20.

Abstract

A newborn without prenatal diagnosis, with bronchial and abdominal situs inversus in levocardia, was referred to our hospital for accurate evaluation; echocardiography showed venoatrial connections in mirror-image arrangement, atrioventricular (AV) discordance, and double-outlet right ventricle (DORV). Additional cardiac malformations were double upper caval district, atrial communication, subpulmonary interventricular communication, and moderate subvalvular and valvular pulmonary stenosis. Few days after birth, the patient presented low oxygen saturation and the heart team decided for a palliative surgery. We describe a very rare case in a newborn with bronchial-abdominal mirror imagery, AV discordance, and DORV in levocardia.

摘要

一名未进行产前诊断的新生儿,心脏位置正常但支气管和腹部脏器反位,被转诊至我院进行准确评估;超声心动图显示腔静脉与心房连接呈镜像排列,房室不一致,以及右心室双出口。其他心脏畸形包括双侧上腔静脉区、心房交通、肺动脉下室间隔交通,以及中度瓣膜下和瓣膜性肺动脉狭窄。出生几天后,该患者出现低氧饱和度,心脏团队决定进行姑息性手术。我们描述了一例非常罕见的新生儿病例,其具有支气管-腹部镜像、房室不一致和心脏位置正常的右心室双出口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed7b/8021085/977d63e78c75/JCE-30-227-g001.jpg

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