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合并发育不全肺动脉瓣叶的乌尔氏畸形:一项临床、血流动力学、血管造影及病理学研究

Uhl's anomaly with rudimentary pulmonary valve leaflets: a clinical, hemodynamic, angiographic, and pathologic study.

作者信息

Kaul U, Arora R, Rani S

出版信息

Am Heart J. 1980 Nov;100(5):673-7. doi: 10.1016/0002-8703(80)90234-3.

DOI:10.1016/0002-8703(80)90234-3
PMID:7446364
Abstract

An acyanotic 4-year-old male child who failed to thrive presented with signs of persistent right heart failure and no cardiac murmurs. There was radiologic evidence of gross cardiomegaly with unremarkable lung fields. Cardiac catheterization and cineangiographic features helped in arriving at the diagnosis of parchment right ventricle with normal tricuspid valve (Uhl's anomaly), a rare condition seldom diagnosed during life. The patient was subjected to surgery, and Glenn's operation was performed, following which he died of a low output state and bradyarrhythmia. Autopsy revealed partial parchment right ventricle with rudimentary pulmonary valve leaflets, a combination not described previously.

摘要

一名4岁发育不良的无紫绀男童,出现持续性右心衰竭体征且无心脏杂音。放射学证据显示心脏明显增大,肺野无异常。心导管检查和心血管造影特征有助于诊断为三尖瓣正常的羊皮纸样右心室(乌尔畸形),这是一种罕见疾病,生前很少被诊断出来。该患者接受了手术,进行了格林手术,术后死于低心排血量状态和缓慢性心律失常。尸检发现部分羊皮纸样右心室伴有发育不全的肺动脉瓣叶,这种组合此前未曾有过描述。

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1
Uhl's anomaly with rudimentary pulmonary valve leaflets: a clinical, hemodynamic, angiographic, and pathologic study.合并发育不全肺动脉瓣叶的乌尔氏畸形:一项临床、血流动力学、血管造影及病理学研究
Am Heart J. 1980 Nov;100(5):673-7. doi: 10.1016/0002-8703(80)90234-3.
2
[Uhl's anomaly associated with atresia of the pulmonary valve].[与肺动脉瓣闭锁相关的乌尔氏异常]
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Isolated congenital pulmonary regurgitation with right ventricular outflow tract aneurysm--a rare variant of Uhl's anomaly.
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Congenital hypoplasia of right ventricular myocardium (Uhl's anomaly) associated with pulmonary atresia in a newborn.新生儿右心室心肌先天性发育不全(乌尔氏畸形)合并肺动脉闭锁
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A Case of Prenatally Diagnosed Uhl's Anomaly with Absent Pulmonary Valve Leaflets and Dysplastic Tricuspid Valve.一例产前诊断为乌尔氏畸形伴肺动脉瓣叶缺如及三尖瓣发育异常的病例。
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Noninvasive recognition of the parchment right ventricle (Uhl's anomaly arrhythmogenic right ventricular dysplasia) syndrome.
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Surgical Options for Uhl's Anomaly.乌尔氏畸形的手术治疗方案
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[Congenital tricuspid insufficiency due to valvular dysplasia. Review of the literature in light of a case in a 40-year-old adult].[因瓣膜发育异常导致的先天性三尖瓣关闭不全。结合一例40岁成年人病例对文献的综述]
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Echocardiographic findings in Uhl's anomaly. Demonstration of diastolic pulmonary valve opening.乌尔氏畸形的超声心动图表现。舒张期肺动脉瓣开放的显示。
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引用本文的文献

1
Dysplastic conditions of the right ventricular myocardium: Uhl's anomaly vs arrhythmogenic right ventricular dysplasia.右心室心肌发育异常情况:乌尔畸形与致心律失常性右心室发育不良
Br Heart J. 1993 Feb;69(2):142-50. doi: 10.1136/hrt.69.2.142.
2
Coarctation of the aorta in the syndrome of absent pulmonary valve with ventricular septal defect.主动脉缩窄合并肺动脉瓣缺如综合征及室间隔缺损。
Pediatr Cardiol. 1990 Jul;11(3):159-63. doi: 10.1007/BF02238849.