Aneurysm of the Ascending Aorta in a Neonate

新生兒昇主動脈之動脈瘤：一病例報告

張簡曉芸(Hsiao-Yun Chang Chien) ； 宋增銓(Tseng-Chen Sung)

《Acta Paediatrica Sinica》 40卷2期 (1999/04) Pp. 121-123

https://doi.org/10.7097/APS.199904.0156

摘要

胸主動脈的動脈瘤在兒童很少見。我們報告一個新生兒病例，她在22天大時因有心雜音，咳嗽和發燒而被轉介至本院。經心臓超音波和主動脈X光攝影檢查發現在其昇主動脈根部有一動脈瘤。當時曾偵測出開放性動脈導管，但於三個月大時消失。她沒有馬方氏或透納氏症候群的物徵，但是自一出生在右側軀幹有大片的表皮血管瘤。她的昇主動脈瘤在一年追蹤當中並無變化。其形成原因不明，可能是血管中胚層發育不全。若是動脈瘤持續變大，則攷慮手術治療。

關鍵字

動脈瘤 ； 昇主動脈 ； 表皮血管瘤

並列摘要

Aneurysms of the thoracic aorta rarely occur in children. We present a female neonate who was referred to our hospital due to a heart murmur associated with cough and fever at 22 days of age. Both the echocardiography and aortography displayed an aneurysm of the ascending aorta at the aortic root. A patent ductus arteriosus (PDA) flow was detected on admission but it was not detectable when she was 3 months old. Neither physical characteristics of Marfan nor Turner syndrome were found, but she has had a huge cutaneous hemangioma over the right trunk since birth. The aneurysm did not progress during one year of follow-up. The etiology might be idiopathic or medial agenesis. Surgery will be warranted only if the aneurysm enlarges.

並列關鍵字

aneurysm ； ascending aorta ； cutaneous hemangioma