伴有冠状窦状隙的严重肺动脉狭窄的产前诊断与决策：病例报告
Prenatal Diagnosis and Decision-Making in Severe Pulmonary Stenosis With Coronary Sinusoids: A Case Report.
作者信息
Golbabaei Alireza, Alavi Moghaddam Elham Sadat, Naemi Mahsa, Mohammad Talebi Hooman
机构信息
Department of Perinatology and Fetal Cardiology Shariati Hospital, Tehran University of Medical Sciences Tehran Iran.
Tehran University of Medical Sciences Tehran Iran.
出版信息
Clin Case Rep. 2025 Sep 24;13(10):e71017. doi: 10.1002/ccr3.71017. eCollection 2025 Oct.
Abstract
A 38-year-old pregnant woman at 22 weeks of gestation was referred to the hospital with a rare concomitance of severe pulmonary stenosis and coronary sinusoids in the fetus. Unfortunately, the pregnancy was ultimately terminated. Early detection through fetal echocardiography is of paramount importance for accurate differential diagnosis and clinical decision-making.
摘要
一名妊娠22周的38岁孕妇因胎儿罕见地同时患有严重肺动脉狭窄和冠状静脉窦而被转诊至医院。不幸的是，该妊娠最终终止。通过胎儿超声心动图进行早期检测对于准确的鉴别诊断和临床决策至关重要。
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Circ Cardiovasc Imaging. 2025 Feb;18(2):e017126. doi: 10.1161/CIRCIMAGING.124.017126. Epub 2025 Jan 13.
2
A complex case of univentricular heart with multiple congenital malformations diagnosed in a newborn: a case report and literature review.1例新生儿诊断为单心室合并多种先天性畸形的复杂病例：病例报告及文献复习
Ann Med Surg (Lond). 2024 Apr 24;86(7):4146-4151. doi: 10.1097/MS9.0000000000002041. eCollection 2024 Jul.
3
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Front Pediatr. 2024 May 1;12:1251274. doi: 10.3389/fped.2024.1251274. eCollection 2024.
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Pediatr Neonatol. 2024 Jul;65(4):328-335. doi: 10.1016/j.pedneo.2023.05.010. Epub 2023 Oct 20.
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