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一例罕见的诊断为主动脉瓣缺如、肺动脉瓣严重发育不全合并右心室双出口的病例报告。

A rare case of diagnosed absent aortic valve and severely hypoplastic pulmonary valve with double outlet right ventricle: A case report.

作者信息

Suvorov V V, Fedotova E P, Zaitsev V V, Dolgova E V, Popova L L, Glazunova A E, Novak M U, Nasyrov R A

机构信息

Department of Surgical Diseases of Children, Saint Petersburg State Pediatric Medical University, Saint-Petersburg, 194100, Russia.

Department of Pathological Anatomy, Saint Petersburg State Pediatric Medical University, Saint-Petersburg, 194100, Russia.

出版信息

Heliyon. 2023 Jun 20;9(6):e17373. doi: 10.1016/j.heliyon.2023.e17373. eCollection 2023 Jun.

DOI:10.1016/j.heliyon.2023.e17373
PMID:37441373
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10333606/
Abstract

Agenesis of the aortic and pulmonary valves is a very rare congenital malformation of the semilunar valves. The literature describes no more than thirty cases of such anomaly in combination with congenital heart disease. Most descriptions include aplasia of either the aortic or pulmonic valve. The combination of such defect in both valves has been described in a much smaller number of scientific papers. In this article, we present a clinical case of the treatment of a patient with agenesis of aortic valve and severely hypoplastic pulmonary valve. As a result circulatory arrest occurred immediately after birth, which required the implementation of cardiopulmonary resuscitation. The child was resuscitated and transferred to the intensive care unit for further examination and treatment.

摘要

主动脉瓣和肺动脉瓣发育不全是一种非常罕见的半月瓣先天性畸形。文献中描述的这种异常合并先天性心脏病的病例不超过30例。大多数描述包括主动脉瓣或肺动脉瓣发育不全。两个瓣膜都存在这种缺陷的情况在较少的科学论文中有描述。在本文中,我们介绍了一例主动脉瓣发育不全和严重发育不良的肺动脉瓣患者的治疗临床病例。结果,患儿出生后立即发生循环骤停,需要进行心肺复苏。患儿复苏成功后被转至重症监护病房进行进一步检查和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/0600a08aace1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/87079d359741/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/2dc0bdcf9736/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/599e38b0f765/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/e794f4d0a906/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/0600a08aace1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/87079d359741/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/2dc0bdcf9736/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/599e38b0f765/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/e794f4d0a906/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3994/10333606/0600a08aace1/gr5.jpg

相似文献

1
A rare case of diagnosed absent aortic valve and severely hypoplastic pulmonary valve with double outlet right ventricle: A case report.一例罕见的诊断为主动脉瓣缺如、肺动脉瓣严重发育不全合并右心室双出口的病例报告。
Heliyon. 2023 Jun 20;9(6):e17373. doi: 10.1016/j.heliyon.2023.e17373. eCollection 2023 Jun.
2
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本文引用的文献

1
An extremely rare case of prenatally diagnosed absent both aortic and pulmonary valves.一例极其罕见的产前诊断为主动脉瓣和肺动脉瓣均缺失的病例。
Obstet Gynecol Sci. 2016 Sep;59(5):393-6. doi: 10.5468/ogs.2016.59.5.393. Epub 2016 Sep 13.
2
Prenatal Diagnosis of Congenital Absence of Aortic Valve: A Report of Two Cases with Different Outcomes and a Literature Review.先天性主动脉瓣缺如的产前诊断:两例不同结局病例报告及文献复习
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Acute aortic regurgitation.急性主动脉瓣关闭不全
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Precise evaluation of bilateral pulmonary artery banding for initial palliation in high-risk hypoplastic left heart syndrome.高危左心发育不全综合征患者行双侧肺动脉环缩术行初始姑息治疗的精确评估。
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6
Fontan operation for hypoplastic left heart syndrome with absent aortic valve.用于治疗左心发育不全综合征合并主动脉瓣缺如的Fontan手术。
J Thorac Cardiovasc Surg. 2004 Aug;128(2):315-6. doi: 10.1016/j.jtcvs.2003.12.045.
7
Congenital aortic regurgitation due to absent aortic cusps and high-degree mitral stenosis.由于主动脉瓣叶缺如和高度二尖瓣狭窄导致的先天性主动脉瓣关闭不全。
Pediatr Cardiol. 2003 May-Jun;24(3):304-6. doi: 10.1007/s00246-002-0322-1. Epub 2003 Jan 15.
8
Congenital absence of aortic valvar leaflets: a rare variant of the hypoplastic left heart syndrome.先天性主动脉瓣叶缺如:一种罕见的左心发育不全综合征变体。
Cardiol Young. 2001 Jul;11(4):453-7. doi: 10.1017/s1047951101000592.
9
Absent aortic valve: successful palliation in the neonate.主动脉瓣缺如:新生儿的成功姑息治疗。
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10
Congenital absence of aortic and pulmonary valve in a fetus with severe heart failure.一名患有严重心力衰竭的胎儿先天性主动脉瓣和肺动脉瓣缺失。
Heart. 1996 Jan;75(1):98-100. doi: 10.1136/hrt.75.1.98.