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婴儿主动脉弓特发性动脉瘤

Idiopathic Aneurysm of the Aortic Arch in an Infant.

作者信息

Cvitkovic Tomislav, Petena Elena, Sarikouch Samir, Neubert Lavinia, Beerbaum Philipp, Horke Alexander, Bobylev Dmitry

机构信息

Department of Cardiothoracic, Thransplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Institution of Pathology, Hannover Medical School, Hannover, Germany.

出版信息

Thorac Cardiovasc Surg Rep. 2022 Sep 19;11(1):e54-e57. doi: 10.1055/s-0042-1750426. eCollection 2022 Jan.

DOI:10.1055/s-0042-1750426
PMID:36134142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9484867/
Abstract

Congenital aortic aneurysms are rare disorders, usually associated with genetic aortic syndromes. Here, we describe the case of an idiopathic aortic arch aneurysm which had been diagnosed prenatally by fetal echocardiography. The diagnosis was confirmed after birth in the neonatal period and successful surgical resection of the aneurysm was performed at the age of 3 months. The idiopathic etiology of the aneurysm, its localization, and the early surgical resection render this case very unusual.

摘要

先天性主动脉瘤是罕见疾病,通常与遗传性主动脉综合征相关。在此,我们描述一例特发性主动脉弓瘤病例,该病例通过胎儿超声心动图在产前得以诊断。出生后新生儿期确诊,患儿在3个月大时成功进行了动脉瘤手术切除。该动脉瘤的特发性病因、其位置以及早期手术切除使得此病例非常罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/fd258e59f20f/10-1055-s-0042-1750426-i220432crc-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/23ee8f64f28a/10-1055-s-0042-1750426-i220432crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/4b07e923af2d/10-1055-s-0042-1750426-i220432crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/0d4ac0f5bbab/10-1055-s-0042-1750426-i220432crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/fd258e59f20f/10-1055-s-0042-1750426-i220432crc-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/23ee8f64f28a/10-1055-s-0042-1750426-i220432crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/4b07e923af2d/10-1055-s-0042-1750426-i220432crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/0d4ac0f5bbab/10-1055-s-0042-1750426-i220432crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d9/9484867/fd258e59f20f/10-1055-s-0042-1750426-i220432crc-4.jpg

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1
Idiopathic Aneurysm of the Aortic Arch in an Infant.婴儿主动脉弓特发性动脉瘤
Thorac Cardiovasc Surg Rep. 2022 Sep 19;11(1):e54-e57. doi: 10.1055/s-0042-1750426. eCollection 2022 Jan.
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本文引用的文献

1
Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft.先天性腹主动脉瘤的新生儿显微外科修复术:使用尸体移植物
European J Pediatr Surg Rep. 2021 Jan;9(1):e23-e27. doi: 10.1055/s-0041-1723019. Epub 2021 Mar 3.
2
The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms.血管外科学会内脏动脉瘤治疗临床实践指南。
J Vasc Surg. 2020 Jul;72(1S):3S-39S. doi: 10.1016/j.jvs.2020.01.039. Epub 2020 Mar 20.
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Giant Aneurysm of the Ascending Aorta Requiring Emergency Repair in a Newborn Baby.
升主动脉巨大动脉瘤致新生儿急症修复。
Ann Thorac Surg. 2019 Feb;107(2):e107-e109. doi: 10.1016/j.athoracsur.2018.06.067. Epub 2018 Aug 14.
4
Four new cases of pediatric thoracic aortic aneurysm (TAA) with review of the molecular genetic basis, utilizing the newly published consensus nomenclature.四例儿童胸主动脉瘤(TAA)病例,并利用新发布的共识命名法对其分子遗传基础进行了回顾。
Cardiovasc Pathol. 2017 Nov-Dec;31:34-40. doi: 10.1016/j.carpath.2017.07.005. Epub 2017 Jul 27.
5
Genetic diagnostics of inherited aortic diseases : Medical strategy analysis.遗传性主动脉疾病的基因诊断:医学策略分析
Herz. 2017 Aug;42(5):459-467. doi: 10.1007/s00059-017-4577-y.
6
Endovascular treatment of a congenital thoracic aortic aneurysm in a premature newborn.早产儿先天性胸主动脉瘤的血管内治疗。
J Vasc Interv Radiol. 2012 Oct;23(10):1330-4. doi: 10.1016/j.jvir.2012.07.001.
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Mycotic aneurysm of the descending thoracic aorta in a 2-kg neonate.一名2千克重新生儿的胸降主动脉霉菌性动脉瘤。
Ann Thorac Surg. 2005 Aug;80(2):726-9. doi: 10.1016/j.athoracsur.2004.01.038.