心心异位合并心脏病的产前诊断1例

F. Rashidighader, M. Khorgami, E. Caruso, Farruggio Silvia, Reza Masihi
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摘要

异位心脏病是一种罕见的异常,发病率为5.5-7.9‰。在这种异常情况下,胎儿心脏部分或全部显示在胸腔外。我们描述了一例产前诊断为胸部异位心脏病(EC)伴先天性心脏病(CHD)且无任何其他心外畸形的病例。这位母亲在怀孕18周时因超声检查异常被转诊到我们的中心。胎儿超声心动图检查显示孤立性胸外心脏伴右心室双出口(DORV)、室间隔缺损(VSD)、主动脉错位、肺动脉闭锁伴逆行、肺动脉狭窄和肺动脉分支狭窄。羊水穿刺和超声检查未发现其他异常或染色体紊乱。由于多种因素,胎儿期心脏异位症的诊断可能很困难,因此应仔细注意真正的诊断。
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A Case of Antenatal Diagnosis of Ectopia Cordis with Cardiac Disease
Ectopic cordis is a rare anomaly with incidence of 5.5 to 7.9 per one million. In this anomaly, fetal heart is displayed towards outside of the thoracic cavity partially or completely. We describe a case of antenatal diagnosis of Thoracic Ectopia Cordis (EC) with CongenitalHeartDisease (CHD) without any other extracardiac malformations. The mother was referred to our center at 18 weeks of gestation due to abnormal sonography. Fetal Echocardiographic examination showed isolated thoracic ectopia cordis with Double Outlet Right Ventricle (DORV), large inlet to outlet Ventricular Septal Defect (VSD), malposition of Aorta, Pulmonary Atresia with retrograde flow, narrow Pulmonary Artery (PA) and PA branches. Amniocentesis and sonography revealed no other anomaly or chromosomal derangement. Because the diagnosis of Ectopia cordis may be difficult in the fetal period due to multiple factors, meticulous attention should be paid for true diagnosis.
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发文量
43
审稿时长
12 weeks
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