主動脈弓離斷合并iii型主動脈夾層1例(編輯修改稿)
2024-08-14 04:51 本頁面
【文章內(nèi)容簡介】 0%) ? bicuspid aortic valve ( 60% ) ? subaortic stenosis (20% ) ? valvey deformit (10%) ? deformit truncus arteriosus (10%) Interruption of the ortic ArchClassification Type A Type B Type C A型主動脈弓離斷 ： 中斷位于左鎖骨下動脈的遠側(cè)。（ 40%） B型主動脈弓離斷 ：中斷位于左頸總動脈和左鎖骨下動脈之間。（ 50%） C型主動脈弓離斷 ： 中斷位于無名動脈和左頸總動脈之間。（ 5%） Interruption of the ortic ArchClassification Diagnosis ? Clinical features ? Chest X ray ? Echocardiography ? Angiography ? MR ? CTscan Clinical features ? 1. Most of interrupted aortic arch symptoms of sick children at the early stage after birth, there ? congestive heart failure, ? dyspnea, ? oliguria ? acidosis. 2. Signs ? purple to the difference. ? limbs, pulse and blood pressure are not equal. ? heart murmur. ECG ? Right ventricular hypertrophy ? STT wave abnormalities ? QT prolong Chest X ray ? Cardiomegaly ? increased pulmonary vascular markings, and pulmonary venous congestion or pulmonary edema ? Narrow upper mediastinum or increase cardiothymic silhouette: absence of the thymus Echocardiography ? Diagnostic for IAA. ? the ascen
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