关键词: Scimitar syndrome cardiac malposition echocardiography fetus pulmonary hypoplasia

来  源:   DOI:10.1515/med-2024-0989   PDF(Pubmed)

Abstract:
UNASSIGNED: To investigate the clinical value of echocardiographic detection in the prenatal early diagnosis of Scimitar syndrome (SS) in fetuses, and to develop better and more accurate management strategies for improved prognosis.
UNASSIGNED: A retrospective analysis was conducted on medical records and fetal echocardiographic findings of all cases diagnosed as SS between April 1, 2016 and June 1, 2021. To summarize its echocardiographic features and distinguishing points, comprehensive clinical data and prognostic information were gathered.
UNASSIGNED: Six patients were diagnosed with SS during the study period. Major associated abnormalities included atrial septal defect (n = 3), right inferior pulmonary vein anomalies (n = 2), ventricular septal defect (n = 1), and right aortic arch (n = 1). Post-surgery, all patients exhibited unobstructed pulmonary vein flow and absence of pulmonary hypertension. The average follow-up duration was 24 months, during which five infants underwent surgical intervention for SS.
UNASSIGNED: Comprehensive prenatal screening, particularly combined coronal and sagittal views of the fetal thorax, enables accurate diagnosis of right SS. This approach not only aids in timely intervention but also provides crucial prognostic insights for the child\'s future well-being.
摘要:
探讨超声心动图检测在胎儿弯刀综合征(SS)产前早期诊断中的临床价值,并制定更好,更准确的管理策略以改善预后。
对2016年4月1日至2021年6月1日诊断为SS的所有病例的病历和胎儿超声心动图检查结果进行了回顾性分析。总结其超声心动图特征及区别点,收集了全面的临床数据和预后信息.
6名患者在研究期间被诊断为SS。主要相关异常包括房间隔缺损(n=3),右下肺静脉异常(n=2),室间隔缺损(n=1),和右主动脉弓(n=1)。手术后,所有患者肺静脉血流通畅,无肺动脉高压.平均随访时间24个月,在此期间,五名婴儿接受了SS手术干预。
全面的产前筛查,特别是胎儿胸部的冠状和矢状结合视图,可以准确诊断正确的SS。这种方法不仅有助于及时干预,而且为儿童的未来福祉提供了至关重要的预后见解。
公众号