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先天性心脏横纹肌瘤:产前超声心动图检测、围产期管理及手术治疗

Congenital intracardiac rhabdomyoma: prenatal detection by echocardiography, perinatal management, and surgical treatment.

作者信息

Boxer R A, Seidman S, Singh S, LaCorte M A, Pek H, Goldman M A, Parnell V

出版信息

Am J Perinatol. 1986 Oct;3(4):303-5. doi: 10.1055/s-2007-999884.

Abstract

A case of a newborn infant with an intracardiac tumor, detected in utero by fetal echocardiography at 30 weeks gestation, is presented. The prenatal evaluation by serial fetal echocardiograms and nonstress tests is described. In the perinatal period, ventricular tachycardia occurred and was successfully managed with antiarrhythmic medications. At 20 months of age, a right ventricular rhabdomyoma was removed at open heart surgery. The patient represents the earliest in utero detection of a fetal intracardiac tumor with successful postnatal outcome.

摘要

本文报告一例新生儿心脏内肿瘤病例,该病例在妊娠30周时通过胎儿超声心动图在子宫内被检测到。描述了通过系列胎儿超声心动图和无应激试验进行的产前评估。在围产期,发生了室性心动过速,并通过抗心律失常药物成功治疗。在20个月大时,通过心脏直视手术切除了右心室横纹肌瘤。该患者代表了子宫内最早检测到的胎儿心脏内肿瘤且产后预后成功的病例。

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