Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Pediatric Heart Center, Medical University of Vienna, Vienna, Austria.
Department of Cardiac Surgery, Pediatric Heart Center, Medical University of Vienna, Vienna, Austria.
Cardiol Young. 2023 Dec;33(12):2690-2692. doi: 10.1017/S1047951123003359. Epub 2023 Oct 31.
In utero idiopathic constriction of the arterial duct is a rare condition with only a handful reported cases. Ductal aneurysms with thrombus formations on the other hand are significantly more common. We report a case of a term infant who presented with right heart failure due to premature ductal closure and postnatal severe respiratory distress. Subsequent diagnostics revealed paresis of left laryngeal nerve and obstruction of the left pulmonary artery secondary to a ductal aneurysm. Consequently, surgical intervention was considered necessary. Post-operatively, right ventricular function and hoarseness resolved slowly.
胎儿期动脉导管特发性狭窄是一种罕见的疾病，仅有少数病例报道。另一方面，动脉导管瘤伴血栓形成则更为常见。我们报告了一例足月婴儿，因动脉导管过早关闭而出现右心衰竭，并在出生后出现严重呼吸窘迫。进一步的诊断显示，左侧喉返神经麻痹和左侧肺动脉阻塞，这是由动脉导管瘤引起的。因此，考虑进行手术干预。术后，右心室功能和声音嘶哑恢复缓慢。
