从产前诊断引起的混:C型持续的第五大动脉门或右侧动脉管
Tian-Gang Li1,2, Jiao Zheng3, Bin Ma1,2
1Department of Ultrasound Diagnosis, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, Gansu Province, PR China.
Echocardiography (Mount Kisco, N.Y.)
|December 19, 2023
概括
这项研究详细介绍了一种罕见的双重大动脉,具有不寻常的静脉和动脉连接. 研究人员发现了潜在的持续性第五大动脉门,挑战了最初的诊断.
科学领域:
- 心血管成像 - 心血管成像
- 胎儿心脏病学 胎儿心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 双大动脉 (DAA) 是一种罕见的先天性异常.
- 相关的血管变异可能会使诊断复杂化.
- 准确识别所有组件对于管理至关重要.
研究的目的:
- 描述一个单一的DAA病例,其中有下左臂脑静脉 (LBCV) 和右侧脉管.
- 用先进的成像技术来调查诊断的不确定性.
- 探索持续第五大动脉门 (PFAA) 的可能性.
主要方法:
- 高清 (HD) 流程染模式.
- 时间空间图像相关性 (STIC) 超声波.
- 对大动脉门和相关血管进行详细的解剖评估.
主要成果:
- 鉴定出一个复杂的血管解剖学,包括DAA,下大动脉LBCV和右侧导管动脉.
- 观察到一个源自肺动脉 (PA) 的血管,连接到上升性大动脉 (AAO).
- 对这艘船的性质产生了诊断的不确定性.
结论:
- 观察到的连接PA与AAO的血管可能代表C型持续第五大动脉 (PFAA).
- 先进的成像模式对于表征复杂的先天性心血管异常至关重要.
- 这一案例凸显了在诊断罕见的血管变异时仔细评估的重要性.
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