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胎儿心脏疾病与脉络丛囊肿之间关联的评估

Evaluation of the Association between Fetal Cardiac Disorders with Choroid Plexus Cyst in Fetuses.

作者信息

Dakkali Mohammad Sedigh, Karimi Behnagh Arman, Ghasemi Assl Shakiba, Kimiaeifar Atiyeh, Radgoodarzi Mohammad

机构信息

School of Medicine, Zahedan University of Medical Sciences, Zahedan 9816743463, Iran.

Echocardiography Research Center, Rajaei Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran 1995614331, Iran.

出版信息

J Cardiovasc Dev Dis. 2022 Feb 16;9(2):60. doi: 10.3390/jcdd9020060.

Abstract

Choroid plexus cysts (CPCs) are often transient and benign findings observed in pregnancy screenings. This study aimed to examine the association between the frequency of congenital heart diseases and the detection of CPCs. In this prospective case-control study, pregnant mothers with no predisposing risk factors for the development of fetal cardiac abnormalities were eligible for entry. Based on the presence or absence of CPCs on ultrasound, the enrolled fetuses were divided into two groups. All patients ( = 100) underwent two-dimensional and color Doppler echocardiography to identify potential cardiac anomalies. Overall, CPCs were detected in 53 enrolled fetuses, and the remainder were enrolled as controls ( = 47). Pathological findings, such as echogenic intracardiac focus (EIF), ductal spasm, atrial septal defect (ASD), pericardial effusion, cardiomyopathy, and congenital heart disease were found in neither group. In the CPC group, two mild and six trivial cases of tricuspid regurgitation (TR) were detected. In the controls, five cases of trivial TR were identified. In conclusion, the presence of CPCs was not associated with significant functional or structural fetal cardiac abnormalities, which may be due to altered developmental mechanisms.

摘要

脉络丛囊肿(CPCs)在孕期筛查中常为一过性良性表现。本研究旨在探讨先天性心脏病发生频率与CPCs检测之间的关联。在这项前瞻性病例对照研究中,无胎儿心脏异常发生易患风险因素的孕妇符合入选标准。根据超声检查有无CPCs,将入选胎儿分为两组。所有患者(n = 100)均接受二维及彩色多普勒超声心动图检查以识别潜在心脏异常。总体而言,53例入选胎儿检测到CPCs,其余作为对照组(n = 47)。两组均未发现诸如心内强回声光斑(EIF)、导管痉挛、房间隔缺损(ASD)、心包积液、心肌病及先天性心脏病等病理表现。在CPCs组,检测到2例轻度和6例轻微三尖瓣反流(TR)。在对照组,识别出5例轻微TR。总之,CPCs的存在与胎儿显著的功能或结构心脏异常无关,这可能是由于发育机制改变所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4845/8880279/595d19120145/jcdd-09-00060-g001.jpg

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