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持续性海绵状心肌。一例提示产前诊断困难的病例。

Persisting spongy myocardium. A case indicating the difficulty of antenatal diagnosis.

作者信息

Winer N, Lefèvre M, Nomballais M F, David A, Rival J M, Gournay V, Debillon T, Rozé J C, Boog G

机构信息

Service de Gynécologie-obstétrique B, Centre Hospitalier Régional et Universitaire, Nantes, France.

出版信息

Fetal Diagn Ther. 1998 Jul-Aug;13(4):227-32. doi: 10.1159/000020843.

DOI:10.1159/000020843
PMID:9784643
Abstract

Persisting spongy myocardium (also known as noncompaction of the ventricular myocardium) is a rare and special form of cardiomyopathy. The few cases reported in the literature were detected postnatally and involved a high rate of cardiovascular complications. This anomaly of endomyocardial morphogenesis, which occurs during the embryonic phase at the stage of cardiac partitioning, is characterised by an excessive number of prominent trabeculae and by intertrabecular recesses within the myocardial wall. Antenatal detection is difficult in the absence of an associated malformation, which is the general situation. We report a case of antenatal cardiomyopathy which led to therapeutic abortion. The diagnosis of persisting spongy myocardium was made during fetopathologic examination.

摘要

持续性海绵状心肌(也称为心室心肌致密化不全)是一种罕见的特殊类型心肌病。文献报道的少数病例是在出生后发现的,且心血管并发症发生率很高。这种心内膜形态发生异常在胚胎期心脏分隔阶段出现,其特征是心肌壁内有过多突出的小梁和小梁间隐窝。在无相关畸形(这是常见情况)时,产前检测很困难。我们报告一例导致治疗性流产的产前心肌病病例。持续性海绵状心肌的诊断是在胎儿病理检查时做出的。

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Perm J. 2017;21:17-045. doi: 10.7812/TPP/17-045.
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Left Ventricular Noncompaction Cardiomyopathy in Pediatric Patients: A Case Series of a Clinically Heterogeneous Disease.小儿左心室心肌致密化不全心肌病:一组临床异质性疾病病例
Pediatr Cardiol. 2017 Apr;38(4):681-690. doi: 10.1007/s00246-016-1566-5. Epub 2017 Jan 21.
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