右锁骨下动脉异常伴Kommerell憩室和动脉导管未闭:1例新生儿先天性心脏异常和临床表现的不寻常组合。

Zhuoma Xiongqiu, Tiange Li, Q. An
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引用次数: 0

摘要

背景:1个月大的新生儿因呼吸困难和便血入院,该症状突然发生,持续时间超过2天。病例表现:气管和心脏的计算机断层扫描和三维重建显示明显的气管狭窄,由Kommerell憩室引起的右侧锁骨下动脉异常,动脉导管未闭。重建异常的锁骨下动脉,切除憩室,结扎动脉导管。结论本病例是一例罕见的先天性畸形和罕见的临床表现相结合的病例。我们认为解剖异常导致坏死性小肠结肠炎(NEC),导致血便。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aberrant Right Subclavian Artery with Kommerell's Diverticulum and Patent Ductus Arteriosus: Unusual Combination of Congenital Heart Anomalies and Clinical Manifestations in A Neonate.
BACKGROUND A one-month-old neonate presented to the hospital with dyspnea and bloody stool, which happened suddenly and progressed over two days. CASE PRESENTATION Computed tomography and three-dimensional reconstruction of the trachea and heart was done, demonstrating significant trachea stenosis, aberrant right subclavian artery arising from Kommerell's diverticulum, and patent ductus arteriosus. Reconstruction of the aberrant subclavian artery, resection of the diverticulum, and ligation of ductus arteriosus was performed. CONCLUSION The case reported a rare combination of congenital anomalies and rare clinical manifestations at the same time. We thought the anatomical anomalies caused necrotizing enterocolitis (NEC), which lead to bloody stool.
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