https://scholars.lib.ntu.edu.tw/handle/123456789/399496
標題: | Late onset of large benign ductus arteriosus aneurysm presented with increased nuchal translucency and cystic hygroma at first trimester Down syndrome screening | 作者: | MING CHEN | 關鍵字: | Ductus arteriosus aneurysm; Nuchal translucency; Three-dimensional computed tomography | 公開日期: | 2016 | 卷: | 55 | 期: | 3 | 起(迄)頁: | 427-429 | 來源出版物: | Taiwanese Journal of Obstetrics and Gynecology | 摘要: | Objective: Fetal ductus arteriosus aneurysm (DAA) is a rare but potentially risky congenital heart disease. It is often not diagnosed until the third trimester because of its asymptomatic nature and late onset. In rare occasions, DAA may result in serious complications; therefore, prenatal diagnosis is helpful. Case Report: Herein, we report the case of a foetus with cystic hygroma and increased nuchal translucency in the first trimester (but regressed at 20-week anomalous scan). Karyotyping indicated a 46 XY genotype. A large vascular mass was noted at the apex of the left lung by Doppler ultrasound at 38 weeks of gestation, with a diameter of 12.5 mm. After birth, echocardiography showed a patent ductus arteriosus with aneurysmal dilatation (17 mm as the largest diameter); thus, DAA was impressed. Chest computed tomography and three-dimensional angiography confirmed the large aneurysmal dilatation of the ductus arteriosus with a closed end at the pulmonary arterial side. Conclusion: The male infant survived, but presented mild respiratory distress at birth. He was discharged at 24 days of age. At that time, DAA had regressed partially (diameter of 8.5 mm and much less blood flow), and it fully regressed at 40 days of age. ? 2016. |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-84973867720&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/399496 |
DOI: | 10.1016/j.tjog.2016.04.020 | SDG/關鍵字: | adult; aneurysm; Apgar score; Article; assisted ventilation; case report; cesarean section; chorion villus sampling; computer assisted tomography; cystic lymphangioma; Doppler flowmetry; Down syndrome; echocardiography; female; fetal ductus arteriosus aneurysm; fetus karyotyping; first trimester pregnancy; follow up; genotype; hospital discharge; human; human tissue; infant; karyotype 46,XY; male; nuchal translucency measurement; patent ductus arteriosus; patient transport; prenatal screening; pulse oximetry; skin edema; tachypnea; aneurysm; cystic lymphangioma; diagnostic imaging; Doppler ultrasonography; ductus arteriosus; fetus hydrops; first trimester pregnancy; newborn; nuchal translucency measurement; pregnancy; remission; second trimester pregnancy; Adult; Aneurysm; Ductus Arteriosus; Female; Humans; Hydrops Fetalis; Infant, Newborn; Lymphangioma, Cystic; Male; Nuchal Translucency Measurement; Pregnancy; Pregnancy Trimester, First; Pregnancy Trimester, Second; Pregnancy Trimesters; Remission, Spontaneous; Ultrasonography, Doppler |
顯示於: | 醫學系 |
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