我们能诊断出一个有心房隔膜缺陷的胎儿的大动脉门阻塞吗?
Jyothsna Akam-Venkata1,2, Poonam P Thankavel3, Tarique Hussain1
1Department of Pediatrics, Division of Pediatric Cardiology, UT Southwestern Medical Center, Dallas, TX, USA.
Cardiology in the young
|December 16, 2024
概括
在心房隔膜缺陷中对大动脉门阻塞的产前诊断至关重要. 关键预测因素包括大动脉弧z-score和心房门比率,协助分娩和手术规划.
科学领域:
- 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.
- 产前诊断 在产前诊断.
背景情况:
- 大动脉门阻塞在心房隔膜缺陷 (AVSD) 中不常见.
- 在AVSD中对大动脉门阻塞的产前诊断对于计划分娩和心脏手术至关重要.
- 识别产前预测因素可以改善患者咨询.
研究的目的:
- 在患有AVSD的胎儿中确定大动脉缩的产前预测因子.
主要方法:
- 在两个机构对产前确诊的AVSD患者的回顾性审查.
- 分析包括62个胎儿,具有足够的结果数据和诊断窗口.
主要成果:
- 六名患者 (10%) 在产后发生了大动脉缩.
- 靠近横动脉弧z-score和左:右心室门比率是独立的预测指标.
- 一个近端横向大动脉弧z-score<-2或左:右心房门比率<0.7预测了高灵敏度和特异性的大动脉门阻塞.
结论:
- 靠近横动脉弧z-score和左下:右心房门比率预测了AVSD胎儿中大动脉的产后缩.
- 这些参数的未来应用可以创建一个关于分娩和手术时间的胎儿咨询算法.
相关概念视频
The Arch of Aorta
560
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
560
Mitral Stenosis I: Introduction
1
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
1
Mitral Regurgitation II: Clinical features and Diagnostic Tests
1
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...
1
Imaging Studies for Cardiovascular System II:Types of Echocardiography
226
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
226
Fetal Circulation
804
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
804


