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頁籤選單縮合
題名 | Aneurysm of the Ascending Aorta in a Neonate=新生兒升主動脈之動脈瘤:一病例報告 |
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作者 | 張簡曉芸; 宋增銓; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 40:2 民88.03-04 |
頁次 | 頁121-123+141 |
分類號 | 417.5261 |
關鍵詞 | 動脈瘤; 升主動脈; 表皮血管瘤; Aneurysm; Ascending aorta; Cutaneous Hemangioma; |
語文 | 英文(English) |
中文摘要 | 胸主動脈的動脈瘤在兒童很少見。我們報告一個新生兒病例,她在22天大時因有心雜音, 咳嗽和發燒而被轉介至本院。經心臟超音波和主動脈X光攝影檢查發現在其升主動脈根部有一動脈 瘤。當時曾偵測出開放性動脈導管,但於三個月大時消失。她沒有馬方氏或透納氏症候群的特徵, 但是自一出生在右側軀幹有大片的表皮血管瘤。她的升主動脈瘤在一年的追蹤當中並無變化。其形 成原因不明,可能是血管中胚層發育不全。若是動脈瘤持續變大,則考慮手術治療。 |
英文摘要 | Aneurysms of the thoracic aorta rarely occur in children. We present a female neonate who was referred to our hospital due to a heart murmur associated with cough and fever at 22 days of age. Both the echocardiography and aortography displayed an aneurysm of the ascending aorta at the aortic root. A parent ductus arteriosus (PDA) flow was detected on admission but it was not detectable when she was 3 months old. Neither physical characteristics of Marfan nor Turner syndrome were found, but she has had a huge cutaneous hemangioma over the right trunk since birth. The aneurysm did not progress during one year of follow-up. The etiology might be idiopathic or medial agenesis. Surgory will be warranted only if the aneurysm enlarges. |
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