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一名19个月大伴有杂音的男童因非典型心脏解剖结构导致瓣下主动脉狭窄

Atypical Cardiac Anatomy Leading to Subvalvar Aortic Stenosis in a 19-Month-Old Boy With a Murmur.

作者信息

Stave Elise A, d'Udekem Yves, Del Rosario Amanda, Hanabergh Sofia S, Gulino Sam P, Sable Craig A

机构信息

Department of Cardiology, Children's National Hospital, Washington, DC, USA.

Department of Cardiac Surgery, Children's National Hospital, Washington, DC, USA.

出版信息

JACC Case Rep. 2024 Aug 21;29(16):102428. doi: 10.1016/j.jaccas.2024.102428.

DOI:10.1016/j.jaccas.2024.102428
PMID:39295790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11405947/
Abstract

A 19-month-old boy presented with a murmur and was found to have an unusual etiology of subvalvar aortic stenosis with discrete subaortic membrane and anomalous attachment of the anterior mitral valve papillary muscle to the interventricular septum. Preoperative suspicion for mitral valve involvement impacted surgical planning.

摘要

一名19个月大的男孩因心脏杂音就诊，被发现患有瓣下主动脉狭窄，病因不同寻常，存在孤立性主动脉下隔膜，且二尖瓣前乳头肌异常附着于室间隔。术前对二尖瓣受累情况的怀疑影响了手术规划。

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Atypical Cardiac Anatomy Leading to Subvalvar Aortic Stenosis in a 19-Month-Old Boy With a Murmur.一名19个月大伴有杂音的男童因非典型心脏解剖结构导致瓣下主动脉狭窄
JACC Case Rep. 2024 Aug 21;29(16):102428. doi: 10.1016/j.jaccas.2024.102428.
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本文引用的文献

1
Mitral valvar anomalies causing subaortic stenosis: two rare case reports.
Ann Med Surg (Lond). 2023 Mar 27;85(4):1108-1111. doi: 10.1097/MS9.0000000000000365. eCollection 2023 Apr.
2
Long-term follow-up and outcomes of discrete subaortic stenosis resection in children.儿童局限性主动脉瓣下狭窄切除术的长期随访及结果
Ann Pediatr Cardiol. 2019 Sep-Dec;12(3):212-219. doi: 10.4103/apc.APC_120_18.
3
Discrete Subaortic Stenosis: Perspective Roadmap to a Complex Disease.离散性主动脉瓣下狭窄：复杂疾病的前景路线图
Front Cardiovasc Med. 2018 Sep 13;5:122. doi: 10.3389/fcvm.2018.00122. eCollection 2018.
4
Correction of discrete subaortic stenosis with abnormal chordae tendineae.伴有异常腱索的离散性主动脉瓣下狭窄的矫正。
J Card Surg. 2006 May-Jun;21(3):271-3. doi: 10.1111/j.1540-8191.2006.00230.x.
5
Mitral valvar anomalies and discrete subaortic stenosis.二尖瓣异常与局限性主动脉瓣下狭窄。
Cardiol Young. 2002 Mar;12(2):138-46. doi: 10.1017/s104795110200029x.
6
[Subaortic stenosis caused by anomalous chordae tendineae of the mitral valve ("mitral web")].[二尖瓣异常腱索（“二尖瓣蹼”）导致的主动脉瓣下狭窄]
Arq Bras Cardiol. 1993 Sep;61(3):183-5.
7
[Anomalous insertion of the mitral valve. A rare form of subaortic obstruction in children].[二尖瓣异常附着。儿童主动脉瓣下梗阻的一种罕见形式]
Cardiologia. 1992 Mar;37(3):227-31.