DUCTUS-DEPENDENT AORTIC COARCTATION WITH A LEFT-TO-RIGHT SHUNT THROUGH THE DUCTUS - REPORT OF ONE CASE

被引：4

作者：

CHENG, CF ^{[1
]}

WU, MH ^{[1
]}

WANG, JK ^{[1
]}

机构：

[1] NATL TAIWAN UNIV HOSP,DEPT PEDIAT,TAIPEI 10016,TAIWAN

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 1995年 / 49卷 / 03期

关键词：

AORTIC COARCTATION; ARTERIAL DUCT; ECHOCARDIOGRAPHY;

D O I：

10.1016/0167-5273(95)02289-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 20 days old female baby presenting with dyspnea was found to have coarctation of the aorta and patent ductus arteriosus by echocardiography. The Doppler spectral display disclosed mainly a left-to-right shunt through the ductus. Therefore, the prostaglandin El infusion was discontinued. She developed acute left heart failure, and the echocardiograms at that time showed a markly narrowed juxtaductal aortic coarctation with a closed ductus. After resumption of prostaglandin El, with an attenuated juxtaductal aortic coarctation, the left ventricular contractility and the systemic perfusion improved. Therefore, we conclude that the central role of a patent ductus in such a patient is to avoid the ductal constriction which will worsen the aortic coarctation.

引用

页码：209 / 212

页数：4