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[与肺动脉瓣闭锁相关的乌尔氏异常]

[Uhl's anomaly associated with atresia of the pulmonary valve].

作者信息

Fuertes J, Salazar J, Mengual J, Carbone A, Lafarga M, Garcia M, Felipe J, Ferre A

出版信息

Pediatrie. 1984 Apr-May;39(3):213-7.

PMID:6473016
Abstract

A case of Uhl's anomaly in a newborn who died in congestive cardiac failure at 18 days of age is described. There was severe cardiomegaly on chest X-ray, right atrial hypertrophy on E.C.G., and a delayed tricuspid valve closure of 0,8 seconds on M-mode echocardiogram. The necropsy study showed a huge right atrial and right ventricular dilatation, a very thin right ventricular wall (1 mm.) with an important reduction in the number of muscular fibers, a pulmonary valve atresia, and a patent ductus arteriosus and foramen ovale. We have only three cases Uhl's anomaly associated with pulmonary atresia, and no one with such an important delay of the tricuspid valve closure on the echocardiogram.

摘要

本文描述了一例于出生18天时死于充血性心力衰竭的新生儿乌尔氏畸形病例。胸部X线显示严重心脏肥大,心电图显示右心房肥大,M型超声心动图显示三尖瓣关闭延迟0.8秒。尸检研究显示右心房和右心室巨大扩张,右心室壁极薄(1毫米),肌纤维数量显著减少,肺动脉瓣闭锁,动脉导管未闭及卵圆孔未闭。我们仅见三例乌尔氏畸形合并肺动脉闭锁,且超声心动图显示三尖瓣关闭延迟如此显著者尚无先例。

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