A case of early diagnosis and surgical correction of obstructive aortic arch anomaly
- Authors: Doronina T.N.1, Cherkasov N.S.1
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Affiliations:
- Astrakhan State Medical University
- Issue: Vol 31, No 3 (2024)
- Pages: 107-111
- Section: Clinical case
- URL: https://journals.rcsi.science/2073-4034/article/view/262443
- DOI: https://doi.org/10.18565/pharmateca.2024.3.107-111
- ID: 262443
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Abstract
Background. When choosing the optimal type of surgical correction in patients with congenital heart defects (CHD), it is necessary to focus on a comprehensive echocardiographic study (Echo-CG). Coarctation of the aorta is a complex congenital heart disease in terms of diagnostics, therefore, it is important to use three-dimensional echo-CG in its diagnosis.
Description of the clinical case. In the presented clinical case, congenital heart disease (aortic arch hypoplasia) was detected in the fetus at the 19th week of gestation. An examination and long-term follow-up of a pregnant woman at the Cardiac Surgery Center in Astrakhan confirmed the diagnosis.
Results. Immediately after birth, the child underwent surgical treatment of a heart defect. Subsequently, during dynamic follow-up of the patient in the early and late stages of the postoperative period, no serious complications were identified.
Conclusion. Thus, accurate early antenatal diagnosis made it possible to determine the optimal routing of the child after birth and to pre-select tactics for timely correction of congenital heart disease, which ensured a favorable course of the postoperative period. This proves the great importance of prenatal diagnosis of critical heart defects using echocardiography.
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##article.viewOnOriginalSite##About the authors
Tatyana N. Doronina
Astrakhan State Medical University
Author for correspondence.
Email: tanadoronina@yandex.ru
ORCID iD: 0000-0001-7353-3615
SPIN-code: 7198-7287
Dr. Sci. (Med.), Associate Professor, Professor at the Department of Hospital Pediatrics and Neonatology
Russian Federation, AstrakhanN. S. Cherkasov
Astrakhan State Medical University
Email: tanadoronina@yandex.ru
ORCID iD: 0000-0001-9532-5446
Russian Federation, Astrakhan
References
- Клайдайтер У., Далла Поцца Р., Хаас Н.А. Детская эхокардиография. Ультразвуковое исследование сердца у детей. Ультразвуковая диагностика врожденных пороков сердца. Пер. с нем. под ред. М.И. Пыкова. М., 2022. 420 с. [Klajdaiter W., Dalla Pozza R., Haas N.A. Pediatric echocardiography. Ultrasound examination of the heart in children. Ultrasound diagnostics of congenital heart defects. Translation from German, edited by M.I. Pykov. Moscow, 2022. 420 p. (In Russ.)].
- Никитюк Т.Г, Иванова Л.Н., Иванов В.А. и др. Роль эхокардиографии в оценке многоклапанных пороков сердца и результатов хирургического лечения. Кардиология и сердечно-сосудистая хирургия. 2022;15(6):586–92. [Nikityuk T.G., Ivanova L.N., Ivanov V.A., et al. The role of echocardiography in the assessment of multivalvular heart defects and the results of surgical treatment. Kardiologiya i serdechno-sosudistaya khirurgiya. 2022;15(6):586–92. (In Russ.)].
- Прахов А.В. Клиническая электрокардиография в практике детского врача: руководство для врачей. 3-е изд. Нижний Новгород, 2017. 156 с. [Prakhov A.V. Clinical electrocardiography in the practice of a pediatrician: a guide for doctors. 3rd ed. Nizhny Novgorod, 2017. 156 p. (In Russ.)].
- Сухарева Г.Э. Диагностика и лечение врожденной и наследственной патологии сердечно-сосудистой системы у детей. СПб., 2021. 431 с. [Sukhareva G.E. Diagnostics and treatment of congenital and hereditary pathology of the cardiovascular system in children. St. Petersburg, 2021. 431 p. (In Russ.)].
- Бокерия Л.А., Милиевская Е.Б., Кудзоева З.Ф. Сердечно-сосудистая хирургия. Болезни и врожденные аномалии системы крово-обращения. М., 2018. 270 с. [Bokeriya L.A., Milievskaya E.B., Kudzoeva Z.F. Cardiovascular surgery. Diseases and congenital anomalies of the circulatory system. M., 2018. 270 p. (In Russ.)].
- Детская кардиология. Учебник под ред. П.В. Шумилова, Н.П. Котлуковой. М., 2018. 584 с., илл. [Pediatric cardiology. Textbook edited by P.V. Shumilov, N.P. Kotlukova. Moscow, 2018. 584 p., ill. (In Russ.)].
- Marginean C. The role of ventricular disproportion, aortic, and ductal isthmus ultrasound measurements for the diagnosis of fetal aortic coarctation, in the third trimester of pregnancy. Ultrasound Obstet Gynecol. 2016;47(5):616–22. Med Ultrason. 2015;17(4):475–81.
- Джонас Р.А. Хирургическое лечение врожденных пороков сердца. Пер. с англ., под ред. М.В. Борискова. М., 2017. 736 с. [Richard А. Jonas. Surgical treatment of congenital heart defects. Translated from English, edited by M.V. Boriskov. Moscow, 2017. 736 p. (In Russ.)].
- Otto C.M., Nishimura R.A., Bonow R.O., et al.: 2020 ACC/AHA Guideline for Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American Heart College of Cardiology. American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2021;143(5):e 35–71. doi: 10.1161/CIR.0000000000000932.
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