穆兰,陈松,钟春燕.产前超声表现为主动脉偏细胎儿特征及其转归[J].中国医学影像技术,2024,40(6):889~892
产前超声表现为主动脉偏细胎儿特征及其转归
Characteristics and outcomes of fetuses with narrow aorta on prenatal ultrasound
投稿时间:2023-12-11  修订日期:2024-01-29
DOI:10.13929/j.issn.1003-3289.2024.06.019
中文关键词:  胎儿  主动脉狭窄  主动脉缩窄  超声心动描记术  预后
英文关键词:fetus  aortic stenosis  aortic coarctation  echocardiography  prognosis
基金项目:
作者单位E-mail
穆兰 重庆市妇幼保健院 重庆医科大学附属妇女儿童医院超声科, 重庆 401147  
陈松 重庆市妇幼保健院 重庆医科大学附属妇女儿童医院超声科, 重庆 401147 8735842@qq.com 
钟春燕 重庆市妇幼保健院 重庆医科大学附属妇女儿童医院超声科, 重庆 401147  
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中文摘要:
      目的 观察产前超声表现为主动脉偏细胎儿的特征及其转归。方法 回顾性分析29胎产前超声发现主动脉偏细胎儿资料,对比产前与新生儿超声心动图参数及其转归。结果 29胎产前超声均见主动脉峡部偏细,其中25胎主动脉峡部内径大于、1胎等于、3胎小于左锁骨下动脉。29胎中,28胎伴主动脉瓣环偏细,26胎伴升主动脉偏细,27胎伴肺动脉瓣环增宽;10胎可见心室腔比例改变,包括1胎右心室偏大、9胎左心室偏小;24胎伴其他畸形。出生后4例存在主动脉狭窄(AS)或主动脉缩窄(COA)、6例主动脉偏细但为非AS及COA;19名主动脉内径正常,其中2名主动脉血流速度增高。结论 产前超声显示主动脉偏细胎儿常可见主动脉峡部、主动脉瓣环及升主动脉偏细和肺动脉瓣环增宽,部分心室腔比例发生改变;出生后部分主动脉宽度可呈正常。
英文摘要:
      Objective To observe the characteristics and outcomes of fetuses with narrow aorta on prenatal ultrasound. Methods Data of 29 fetuses with narrow aorta on prenatal ultrasound were retrospectively analyzed. The prenatal ultrasound and echocardiographic parameters of newborns were comparatively observed. Results All 29 fetuses with narrow aorta on prenatal ultrasound had thinner aortic isthmus, 25 with aortic isthmus diameter larger than, 1 equal to and 3 smaller than that of the left subclavian artery. Meanwhile, thinner aortic valve annulus was found in 28 fetuses, thinner ascending aorta in 26 and widened pulmonary valve annulus in 27 and abnormal proportion of ventricular chambers in 10 fetuses (1 with enlarged right ventricle and 9 with smaller left ventricle), and 24 with malformations. Postnatal follow-up detected aortic stenosis (AS) or coarctation of aorta (COA) in 4 cases and narrow aorta without AS nor COA in 6 cases, while 19 newborns were found with normal aortic diameter, including 2 cases with increased aortic blood flow velocity. Conclusion Fetuses with narrow aorta on prenatal ultrasound often complicated with thinner aortic isthmus, aortic valve annulus and ascending aorta as well as widened pulmonary valve annulus, sometimes with abnormal proportion of ventricular chambers. Normal aorta diameter could be observed in some cases after birth.
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