摘要
埃布斯坦畸形(Ebstein anomaly)是一种罕见的先天性心脏异常,伴有各种相关的心脏内异常,占所有先天性心脏异常的1%。埃布斯坦畸形的胎儿易并发重度三尖瓣返流,肺动脉瓣狭窄,肺动脉与主动脉比例变小,胸腔、腹腔、心包的积液。胎儿超声心动图对埃布斯坦畸形胎儿的详细诊断和预后评估起关键作用。妊娠早期胎儿埃布斯坦畸形的实际检出率高于新生儿期的报道。然而在妊娠早期和妊娠中期对胎儿心脏的正常描述并不能排除随后出现埃布斯坦畸形的可能性。报道1例妊娠23周时被诊断出埃布斯坦畸形,有明显的心脏肥大和严重的三尖瓣关闭不全的胎儿情况。
Ebstein anomaly is a rare congenital cardiac abnormality with various associated intra-cardiac anomalies,which accounts for 1 percent of all congenital cardiac anomalies.Severe tricuspid regurgitation,pulmonary stenosis/hypoplasia,the decreased ratio of pulmonary,aorta diameter and pleural effusion/ascites/pericardial effusion are common in fetuses with Ebstein anomaly.Fetal echocardigraphy plays a key role in the detailed diagnosis and prognosis evaluation.Fetal Ebstein anomaly may be found in early pregnancy.The incidence is higher than what is reported in newborns.However,depiction of a normal fetal heart in early pregnancy and midpregnancy does not exclude the possibility of subsequent development of Ebstein anomaly.This article describes a fetal Ebstein anomaly diagnosed at 23 weeks of gestation.There was significant cardiomegaly and severe tricuspid regurgitation in this case.This case report provides us a comprehensive overview of fetal Ebstein′s anomaly.
作者
冷芹
林丽苹
张君
秦瑶
LENG Qin;LIN Li-ping;ZHANG Jun;QIN Yao(Maternal and Child Health Hospital of Xiamen University,Xiamen 361000,Fujian Province,China)
出处
《国际生殖健康／计划生育杂志》
CAS
2021年第3期196-197,I0001,共3页
Journal of International Reproductive Health/Family Planning
