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先天性主动脉疾病(CONGENITAL AORTIC DISEASE)课件.ppt

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1、CONGENITAL AORTIC DISEASE,EMBRYOLOGY HYPOTHETICAL DOUBLE AORTIC ARCH (Edward JE),NORMAL LEFT AORTIC ARCH DEVELOPMENT,AORTIC ANOMALIES,AORTIC ARCH ANOMALIES,RIGHT ARCH DOUBLE ARCH CERVICAL ARCH COARCTATION INTERRUPTED AORTIC ARCH PSEUDOCOARCTATION ABERRANT RIGHT SUBCLAVIAN ARTERY PATENT DUCTUS ARTERI

2、OSIS,AORTIC ARCH ANOMALIES PRESENTATION,VASCULAR RING STRIDOR, WHEEZE, INFECTION, DYSPHAGIAASSOCIATED CARDIAC DISORDERS CYANOSIS, CONGESTIVE HEART FAILURE,RIGHT AORTIC ARCH MOST COMMON TYPES,MIRROR IMAGEABERRANT LEFT SUBCLAVIANISOLATED LEFT SUBCLAVIAN,MIRROR IMAGE RIGHT AORTIC ARCH,MIRROR IMAGE RIGH

3、T AORTIC ARCH DEVELOPMENT,MIRROR IMAGE RIGHT AORITIC ARCH IN ASYMPTOMATIC ADULT,MIRROR IMAGE RIGHT AORTIC ARCH,CYANOTIC HEART DISEASE IN 98% TETRALOGY, TRUNCUS, TRANSPOSITION,TRICUSPID ATRESIARARE.VASCULAR RING & NO HEART DEFECTINDENTS RIGHT SIDE OF TRACHEA & ESOPHAGUS,ABERRANT LEFT SUBCLAVIAN RIGHT

4、 AORTIC ARCH,ABERRANT LEFT SUBCLAVIAN RIGHT AORTIC ARCH DEVELOPMENT,ABERRANT LEFT SUBCLAVIAN RIGHT AORTIC ARCH ASYMPTOMATIC ADULT,ABERRANT LEFT SUBCLAVIAN RIGHT AORTIC ARCH ASYMPTOMATIC ADULT,AB LEFT SUBCLAVIAN RIGHT ARCH ANEURYSM OF LEFT SUBCLAVIAN ARTERY,ABERRANT LEFT SUBCLAVIAN RIGHT AORTIC ARCH,

5、MOST COMMON RIGHT ARCH RARELY CAUSES SYMPTOMS RARELY FORMS A VASCULAR RING THAT AFFECTS ESOPH, TRACHEADIVERTICULUM OF KOMMERELLINDENTS POSTERIOR ESOPHAGUS,ISOLATED LEFT SUBCLAVIAN RIGHT AORTIC ARCH,ISOLATED LEFT SUBCLAVIAN RIGHT AORTIC ARCH DEVELOPMENT,ISOLATED LEFT SUBCLAVIAN ARTERY RIGHT AORTIC AR

6、CH SIGNS AND SYMPTOMS OF LEFT ARM ISCHEMIA,ISOLATED LEFT SUBCLAVIAN RIGHT AORTIC ARCH,RARE CAUSE OF ARM ISCHEMIA DECREASED PULSE, FATIGUE, DISCOMFORTSUBCLAVIAN STEAL SYNDROME,DOUBLE AORTIC ARCH,DOUBLE AORTIC ARCH DEVELOPMENT,DOUBLE AORTIC ARCH CHILD WITH RECURRENT PNEUMONIA,DOUBLE AORTIC ARCH CHILD

7、WITH DYSPHAGIA,64-YEAR-OLD WOMAN BROUGHT TO ER AFTER MVA,ASYMPTOMATIC ADULT,DOUBLE AORTIC ARCH,MOST COMMON COMPLETE VASCULAR RING STRIDOR, WHEEZE, INFECTION, DYSPHAGIACONGENITAL HEART DISEASE IS RAREINDENTATION OF BOTH SIDES ESOPHAGUS,CERVICAL AORTIC ARCH,CERVICAL AORTIC ARCH,RIGHT AORTIC ARCH LEFT

8、AORTIC ARCH,CERVICAL AORTIC ARCH,CERVICAL ARCH RIGHT SUBCLAVIAN FROM DIVERTICULUM,RIGHT CERVICAL ARCH ABERRANT LEFT SUBCLAVIAN ARTERY,CERVICAL AORTIC ARCH,OFTEN NO SYMPTOMSTRACHEAL OR ESOPHAGEAL COMPRESSION WHEEZING, STRIDOR, COUGHING CHOKING, RECURRENT PNEUMONIAPALPABLE SUPRACLAVICULAR MASSCONGENIT

9、AL HEART DISEASE TEF, VSD, PDA COARCTATION OF DESCENDING AORTA,COARCTATION,COARCTATION,5% OF CONGENITAL HEART DISEASE POSTDUCTAL ADULT TYPE COARCTATION DISTAL TO DUCTUS OR LIGAMENTUM ARTERIOSUMJUXTADUCTAL INFANTS AND CHILDREN HYPOPLASIA OF TRANSVERSE AORTIC ARCH AND AORTIC ISTHMUS. DUCTUS AT AREA OF COARCTATIONAORTIC ARCH INTERRUPTION 95% HAVE PDA, 50% HAVE VSD,COARCTATION,AORTIC KNOB FIGURE 3 AORTIC KNOB DILATED ARTERIES COLLATERALS ARTERIESLEFT SUBCLAVIAN ARTERYASCENDING AORTA RIB NOTCHING LEFT VENTRICLE HYPERTROPHY ENLARGEMENT,

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