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罕见病例:先天性矫正型大动脉转位合并埃布斯坦畸形的缩窄球囊血管成形术

Coarctation Balloon Angioplasty in a Rare Case with Congenitally Corrected Transposition of the Great Arteries and Ebstein's Anomaly.

作者信息

Alipour Afrouz, Alizadeh Behzad, Zargaran Bita

机构信息

Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Tehran Heart Cent. 2024 Apr;19(2):132-135. doi: 10.18502/jthc.v19i2.16203.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a56f/12045309/414aeb7a0598/JTHC-19-132-g001.jpg

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