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孕期动脉导管未闭：晚期病例的心脏-产科管理

Patent Ductus Arteriosus in Pregnancy: Cardio-Obstetrics Management in a Late Presentation.

作者信息

Zhang Zhihang, Wengrofsky Aaron, Wolfe Diana S, Sutton Nicole, Gupta Manoj, Hsu Daphne T, Taub Cynthia C

机构信息

Department of Cardiology, Montefiore Medical Center, Bronx, New York.

Department of Medicine, Montefiore Medical Center, Bronx, New York.

出版信息

CASE (Phila). 2021 Jan 6;5(2):119-122. doi: 10.1016/j.case.2020.12.002. eCollection 2021 Apr.

DOI:10.1016/j.case.2020.12.002
PMID:33912781
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8071818/
Abstract

• Congenital heart disease may be first diagnosed during pregnancy. • PDA with significant left-to-right shunting can cause peripartum cardiac decompensation. • Multidisciplinary management of congenital heart disease in pregnancy is recommended.

摘要

• 先天性心脏病可能在孕期首次被诊断出来。

• 伴有明显左向右分流的动脉导管未闭可导致围产期心脏失代偿。

• 建议对孕期先天性心脏病进行多学科管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/ea309d2fff91/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/5276d2e92172/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/11370d1aa3c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/4de023aed37a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/c36bcd800f30/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/789d6f827868/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/ea309d2fff91/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/5276d2e92172/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/11370d1aa3c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/4de023aed37a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/c36bcd800f30/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/789d6f827868/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/8071818/ea309d2fff91/gr5.jpg

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本文引用的文献

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Outcomes of transcatheter closure of patent ductus arteriosus with the off-label use of large occluders (≥16 mm).经导管未闭动脉导管封堵术应用大封堵器（≥16mm）的治疗结果。
Indian Heart J. 2020 Mar-Apr;72(2):107-112. doi: 10.1016/j.ihj.2020.03.009. Epub 2020 Apr 7.
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Neonatal Risk in Children of Women With Congenital Heart Disease: A Cohort Study With Focus on Socioeconomic Status.先天性心脏病女性所生儿童的新生儿风险：一项关注社会经济地位的队列研究。
J Am Heart Assoc. 2019 Nov 5;8(21):e013491. doi: 10.1161/JAHA.119.013491. Epub 2019 Oct 28.
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2018年美国心脏协会/美国心脏病学会成人先天性心脏病管理指南：美国心脏病学会/美国心脏协会临床实践指南工作组报告
Circulation. 2019 Apr 2;139(14):e698-e800. doi: 10.1161/CIR.0000000000000603.
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Addressing maternal mortality: the pregnant cardiac patient.解决孕产妇死亡问题：妊娠合并心脏疾病患者。
Am J Obstet Gynecol. 2019 Feb;220(2):167.e1-167.e8. doi: 10.1016/j.ajog.2018.09.035. Epub 2018 Sep 29.
5
Prediction of left ventricular dysfunction after device closure of patent ductus arteriosus: proposal for a new functional classification.预测动脉导管未闭封堵术后左心室功能障碍：提出一种新的功能分类。
EuroIntervention. 2018 Apr 6;13(18):e2124-e2129. doi: 10.4244/EIJ-D-17-00235.
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Eisenmenger Syndrome in Pregnancy.妊娠合并艾森曼格综合征
Braz J Cardiovasc Surg. 2016 Jul-Sep;31(4):325-329. doi: 10.5935/1678-9741.20160062.
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Postnatal diagnosis of maternal congenital heart disease: missed opportunities.产后诊断母亲先天性心脏病：错失的机会。
BMJ Case Rep. 2015 Sep 14;2015:bcr2015209938. doi: 10.1136/bcr-2015-209938.
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Cardiovascular physiology of pregnancy.妊娠的心血管生理学
Circulation. 2014 Sep 16;130(12):1003-8. doi: 10.1161/CIRCULATIONAHA.114.009029.
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Cardiovascular management in pregnancy: congenital heart disease.妊娠期心血管管理：先天性心脏病。
Circulation. 2014 Jul 15;130(3):273-82. doi: 10.1161/CIRCULATIONAHA.113.002105.
10
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Exp Clin Cardiol. 2013 Winter;18(1):e50-4.