由左大动脉和右动脉管形成的罕见血管环
Nana Matsuzawa1, Yuka Yamamoto1, Eri Kitamura1
1Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan.
JACC. Case reports
|September 5, 2025
概括
通过胎儿心声学,可以对罕见的血管环进行产前诊断. 3血管和气管 (3VT) 视图有助于识别复杂病例,包括气管和22q11.2删除等遗传异常.
科学领域:
- 心血管系统的发展
- 胎儿心脏病学
- 儿科医学成像
背景情况:
- 血管环是由于胎儿大动脉的发育而产生的先天性异常.
- 常见的表现包括双主动脉或右侧主动脉与异常的左下关节动脉.
- 这些异常会导致食道或气管压缩.
研究的目的:
- 报告一个罕见的血管环在产前诊断.
- 突出胎儿心声学,特别是3血管和气管 (3VT) 视图在诊断复杂的血管环中的实用性.
- 记录相关的发现,如气管和22q11.2删除.
主要方法:
- 使用二维和彩色多普勒成像的胎儿心声学.
- 专注于三血管和气管 (3VT) 视图进行详细的血管评估.
- 对染色体异常进行基因检测.
主要成果:
- 在产前诊断的罕见血管环涉及左主动脉, 异常的右下关节动脉,
- 在定义血管解剖和病理方面,3VT视图至关重要.
- 相关发现包括气管衰竭和22q11.2删除.
结论:
- 3VT心声扫描是罕见血管环的产前诊断的有效工具.
- 早期诊断有助于及时治疗和辅导相关疾病.
- 这一案例强调了全面的胎儿心脏评估的重要性.
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