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胎儿病例中罕见的肺动脉瓣缺如综合征、完全性房室管缺损、右心室双出口、右位主动脉弓和迷走右锁骨下动脉并存。

Rare association of absent pulmonary valve syndrome, complete atrioventricular canal defect, double outlet right ventricle, right aortic arch, and aberrant right subclavian artery in a fetal case.

机构信息

Department of Pediatric Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.

Department of Perinatology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.

出版信息

Echocardiography. 2022 Oct;39(10):1359-1362. doi: 10.1111/echo.15446. Epub 2022 Sep 20.

DOI:10.1111/echo.15446
PMID:36126337
Abstract

Absent pulmonary valve syndrome (APVS) is a rare congenital cardiac anomaly. It is often associated with TOF, but may also be associated with an intact ventricular septum or, more rarely, with tricuspid atresia. It's combination with a complete atrioventricular septal defects and double outlet right ventricle has been reported extremely rare, even in the postnatal period. Herein, we report a 20-week-old fetus with a right aortic arch and an aberrant left subclavian artery with this rare combination. We report a case of a 20-week fetus diagnosed having this rare combination of right aortic arch and aberrant left subclavian artery. The APVS with complete atrioventricular septal defects may represent another type of APVS.

摘要

肺动脉瓣缺如综合征(APVS)是一种罕见的先天性心脏畸形。它常与法洛四联症相关,但也可能与完整的室间隔相关,或更罕见地与三尖瓣闭锁相关。它与完全性房室间隔缺损和右心室双出口的联合非常罕见,即使在出生后也是如此。在此,我们报告一例 20 周胎儿,存在右位主动脉弓和左锁骨下动脉异常,这种罕见的组合。我们报告一例 20 周胎儿,诊断为右位主动脉弓和左锁骨下动脉异常的罕见组合。伴有完全性房室间隔缺损的 APVS 可能代表另一种类型的 APVS。

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