Abstract

患儿男,出生后16 d,体重4 kg.因脐部包块入院,表面可扪及血管搏动.心脏彩超提示:房间隔、室间隔缺损,表面搏动似来自左心房.行64层MS CTA,显示多种发育畸形,包括房间隔缺损(卵圆孔未闭,图1);室间隔膜部缺损(图2);左右心房、心室均有增大;胸骨下段缺损,膈肌前部存在一小缺损区,左心室尖部可见一憩室,经膈肌缺损处呈管状延伸至脐部,构成脐疝内容物,对比剂在憩室内充盈良好(图3,4)。

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