主动脉弓和腹主动脉假性缩窄:综述。

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reviews Pub Date : 2023-01-01 DOI:10.2174/1573403X19666230329135028
Manjappa Mahadevappa, Prashanth Kulkarni, Lakshay Attri, Nidhi Basavaraj
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引用次数: 0

摘要

主动脉假性缩窄是一种罕见的先天性异常,单独发生或与其他先天性心脏病一起发生。这种情况的解剖学基础与细长、多余的主动脉有关,这可能会影响主动脉弓,或者腹主动脉很少会出现扭结和屈曲,而不会导致任何显著的功能性狭窄。应该小心地将其与常见的真正的主动脉缩窄区分开来。伪缩窄没有特定的临床特征,通常是偶然诊断出来的。尽管大多数患者没有症状,但很少有患者会因动脉瘤形成、夹层或主动脉破裂而出现非特异性症状和并发症。因此,假性缩窄应密切关注症状的出现或可能的并发症。在没有建议的情况下,无症状患者没有特定的治疗方法,尽管症状和并发症需要明确的治疗。由于该疾病的自然病史尚不清楚,因此在诊断时,应密切随访是否出现任何并发症。本文报告了一例涉及主动脉弓的假性主动脉缩窄,并对这种罕见的先天性异常进行了简要的文献回顾。
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Pseudocoarctation of the Arch and the Abdominal Aorta: A Review.

Pseudocoarctaion of the aorta is a rare congenital anomaly occurring in isolation or with other congenital heart diseases. The anatomical basis of the condition is linked to an elongated, redundant aorta which may affect the arch, or the abdominal aorta rarely giving rise to kink and buckling without causing any significant functional stenosis. It should be carefully differentiated from the common true coarctation of the aorta. No clinical features are specific to pseudo coarctation and are often diagnosed incidentally. Although asymptomatic in the majority, few patients can have nonspecific symptoms and complications due to aneurysm formation, dissection, or rupture of the aorta. Hence Pseudocoarctaion should be closely followed for the onset of symptoms or possible complications. Without recommendations, no specific therapy is indicated in asymptomatic patients, although symptoms and complications warrant definitive treatment. As the natural history of the disease is unknown, the condition, when diagnosed, should be closely followed up for the occurrence of any complications. This article reports a pseudo aortic coarctation involving the arch and a brief literature review of this rare congenital anomaly.

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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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