一个患有双大动脉门的孩子的严重大动脉吐异常情况
Martina Avesani1, Jolanda Sabatino2, Domenico Sirico3
1Department of Women's and Children's Health, University of Padua; Pediatric Research Institute (IRP), Foundation Città Della Speranza, Padua. martiaavesani1@gmail.com.
概括
在气球造术后的儿童中,严重的大动脉反 (AR) 可能由于大动脉链破裂而发生. 三维回声心脏图对于诊断这种罕见的并发症和指导治疗至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心血管成像 - 心血管成像
- 干预心脏病学 干预心脏病学
背景情况:
- 大动脉反 (AR) 是大动脉气球膜整形术后儿科患者的常见并发症.
- 已知的AR风险因素包括大气球/球比率,异常的大动脉形态和大动脉脱落.
研究的目的:
- 报告一个罕见的严重的AR病例在大动脉气球膜整形术后.
- 为了确定这种情况下AR的具体原因,并强调先进成像的作用.
主要方法:
- 一个儿科患者的病例介绍,该患者在动脉气球膜整形术后发生了严重的AR.
- 利用3D回声心脏图像来可视化大动脉形态,并确定潜在的病理.
主要成果:
- 严重的AR被归因于大动脉链的破裂,导致一个共同连接的尖端的脱落.
- 3D回声心脏学清楚地描绘了大动脉链断裂和相关的门功能障碍.
结论:
- 大动脉链断裂是儿童大动脉气球膜整形术后严重AR的罕见但重要的原因.
- 3D回声心脏图像是诊断儿科患者复杂的大动脉病理的宝贵工具,即使在具有挑战性的病例中也是如此.
相关概念视频
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
23
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
23
Aortic Regurgitation I: Introduction
10
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
10
Aortic Regurgitation III: Medical Management
24
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
24
Aortic Regurgitation IV: Nursing Management
30
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
30
Cardiovascular System Abnormal Findings II: Auscultation
175
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:
175
Mitral Regurgitation II: Clinical Features and Diagnostic Tests
22
Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
22


