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孤立性双入口右心室畸形:一例报告并文献复习

An isolated double-inlet right ventricular malformation: a case report and review of the literature.

作者信息

Borghol William, Alfaksh Faisal, Karaja Saja, Barakat Lyne, Takkem Saleh

机构信息

Faculty of Medicine, Hama University, Hama, Syria.

Department of Cardiology, Hama National Hospital, Hama, Syria.

出版信息

J Med Case Rep. 2025 May 17;19(1):229. doi: 10.1186/s13256-025-05300-4.

DOI:10.1186/s13256-025-05300-4
PMID:40382597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12084899/
Abstract

BACKGROUND

Double-inlet right ventricle is an extremely rare and complex cardiac malformation characterized by the opening of both atria into the right ventricle and is usually associated with other major cardiac malformations. In this case report, we have discussed an isolated case of double-inlet right ventricle without other malformations and conducted a literature review to compare our case, which is the third in the medical literature, with previously published papers on double-inlet right ventricle.

CASE PRESENTATION

A 2-month-old Syrian male infant was admitted to the cardiology department due to symptoms of central cyanosis and failure to thrive. Echocardiography revealed double-inlet right ventricle with a hypoplastic left ventricle from which the hypoplastic aorta emerged, while the pulmonary trunk emerged from the dilated right ventricle. The child was sent abroad for the Norwood procedure.

CONCLUSION

Although double-inlet right ventricle is a very rare malformation, it can be encountered in clinical practice and should be taken into consideration by practitioners. Clinical researchers should document and publish cases of double-inlet right ventricle diagnosed to draw attention to this malformation and study it in greater depth.

摘要

背景

双入口右心室是一种极其罕见且复杂的心脏畸形,其特征为两个心房均开口于右心室,并且通常与其他主要心脏畸形相关。在本病例报告中,我们讨论了一例无其他畸形的孤立性双入口右心室病例,并进行了文献综述,以将我们的病例(医学文献中的第三例)与先前发表的关于双入口右心室的论文进行比较。

病例介绍

一名2个月大的叙利亚男婴因中心性发绀和发育不良症状入住心内科。超声心动图显示双入口右心室,左心室发育不全,发育不全的主动脉由此发出,而肺动脉干则从扩张的右心室发出。该患儿被送往国外进行诺伍德手术。

结论

尽管双入口右心室是一种非常罕见的畸形,但在临床实践中仍可能遇到,从业者应予以考虑。临床研究人员应记录并发表诊断为双入口右心室的病例,以引起对这种畸形的关注并进行更深入的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/085dfb7e64c3/13256_2025_5300_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/9295d560f5ee/13256_2025_5300_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/8d2fe0c90a05/13256_2025_5300_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/9aaa7f02ae2f/13256_2025_5300_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/085dfb7e64c3/13256_2025_5300_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/9295d560f5ee/13256_2025_5300_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/8d2fe0c90a05/13256_2025_5300_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/9aaa7f02ae2f/13256_2025_5300_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f654/12084899/085dfb7e64c3/13256_2025_5300_Fig4_HTML.jpg

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本文引用的文献

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Transcatheter Fontan completion: Creation of an extracardiac Fontan.经导管 Fontan 完成术:创建心外 Fontan。
Catheter Cardiovasc Interv. 2024 Aug;104(2):264-271. doi: 10.1002/ccd.31131. Epub 2024 Jul 8.
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Normothermic Versus Hypothermic Norwood Procedure.常温与低温下的 Norwood 手术。
World J Pediatr Congenit Heart Surg. 2023 Mar;14(2):125-132. doi: 10.1177/21501351221140330. Epub 2022 Dec 20.
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Double-Inlet Left Ventricle.双入口左心室
Children (Basel). 2022 Aug 24;9(9):1274. doi: 10.3390/children9091274.
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Prenatal Diagnosis, Associated Findings, and Postnatal Outcome in Fetuses with Double Inlet Ventricle (DIV).胎儿双心室(DIV)的产前诊断、相关发现和产后结果。
Ultraschall Med. 2023 Oct;44(5):e226-e240. doi: 10.1055/a-1866-4538. Epub 2022 Jul 1.
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The bidirectional Glenn shunt for univentricular hearts.用于单心室心脏的双向格林分流术。
Indian J Thorac Cardiovasc Surg. 2018 Oct;34(4):453-456. doi: 10.1007/s12055-018-0653-z. Epub 2018 Mar 13.
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Risk factors associated with the development of double-inlet ventricle congenital heart disease.与双入口心室先天性心脏病发展相关的风险因素。
Birth Defects Res. 2019 Jul 1;111(11):640-648. doi: 10.1002/bdr2.1501. Epub 2019 Mar 28.
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Commentary: The Norwood operation from 1982 to 2019: Continued surgical triumph or stagnation?评论:1982年至2019年的诺伍德手术:持续的外科手术胜利还是停滞不前?
J Thorac Cardiovasc Surg. 2019 Jul;158(1):230-231. doi: 10.1016/j.jtcvs.2019.01.074. Epub 2019 Jan 31.
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Double inlet right ventricle versus other types of double or common inlet ventricle: its clinical characteristics with reference to the Fontan procedure.双入口右心室与其他类型的双入口或共同入口心室:参照Fontan手术的临床特征
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