多模态影像学在婴儿主动脉-左心室隧道的全面无创诊断中的应用。
Multimodality imaging for comprehensive non-invasive diagnosis of aorto-left ventricular tunnel in infancy.
机构信息
Pediatric Cardiology Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
出版信息
Echocardiography. 2024 Jan;41(1):e15761. doi: 10.1111/echo.15761.
BACKGROUND
Aorto-left ventricular tunnel (ALVT) is a paravalvular communication between aorta and left ventricle. It is one of the rare congenital heart diseases which could present with heart failure.
CASE PRESENTATION
A case of ALVT was diagnosed in infancy. Preliminary assessment was possible using conventional echocardiography; however, functional assessment and accurate anatomy of ALVT were further verified via variable imaging modalities starting from speckle tracking and three-dimensional echocardiography to cardiac CT angiogram. The tunnel was successfully repaired with uneventful recovery.
CONCLUSIONS
Multimodality imaging can accurately assess cardiac function and demonstrate the anatomy of ALVT noninvasively to plan for successful intervention.
背景
主动脉左心室隧道（ALVT）是主动脉与左心室之间的瓣周沟通。它是一种罕见的先天性心脏病，可导致心力衰竭。
病例介绍
在婴儿期诊断出 ALVT 病例。常规超声心动图可进行初步评估；然而，通过斑点追踪和三维超声心动图到心脏 CT 血管造影等多种成像方式进一步进行功能评估和 ALVT 的准确解剖学验证。该隧道成功修复，无并发症恢复。
结论
多模态成像可准确评估心功能并无创显示 ALVT 的解剖结构，以计划成功的干预。
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