Alipour Afrouz, Alizadeh Behzad, Zargaran Bita
Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
J Tehran Heart Cent. 2024 Apr;19(2):132-135. doi: 10.18502/jthc.v19i2.16203.
The coexistence of aortic coarctation, Ebstein's anomaly, and transposition of the great arteries is an extremely rare occurrence. In this case report, we present a unique instance of complex congenital heart disease in a neonate who exhibited respiratory distress and cyanosis at birth. Echocardiography revealed several significant findings: congenitally corrected transposition of the great arteries, Ebstein's tricuspid anomaly, moderate-to-severe tricuspid regurgitation, a small muscular ventricular septal defect, and an abnormal left arch with severe coarctation of the aorta. Due to the patient's unstable hemodynamic status, balloon angioplasty was performed. Subsequent long-term clinical follow-up confirmed the efficacy of this intervention.
主动脉缩窄、埃布斯坦畸形和大动脉转位并存极为罕见。在本病例报告中,我们呈现了一名新生儿复杂先天性心脏病的独特病例,该患儿出生时即出现呼吸窘迫和发绀。超声心动图显示了几个重要发现:先天性矫正型大动脉转位、埃布斯坦三尖瓣畸形、中度至重度三尖瓣反流、小型肌部室间隔缺损以及伴有严重主动脉缩窄的异常左位主动脉弓。由于患者血流动力学状态不稳定,遂进行了球囊血管成形术。随后的长期临床随访证实了该干预措施的有效性。