第4巻 2008年2月　第1号

■臨床および実験報告

新生児期早期から経時的に血行動態を観察し得た単純型大動脈縮窄症の1例
熊坂　栄¹, 中島　瑞恵¹, 島　義雄¹, 阿部　正徳², 小川　俊一^2
1葛飾赤十字産院, 東京
²日本医科大学付属病院小児科

A Case of Simple Coarctation of the Aorta Manifesting in Early Infancy
Sakae Kumasaka¹, Mizue Nakajima¹, Yoshio Shima¹, Masanori Abe² and Shunichi Ogawa^2
1Japanese Red Cross Katsushika Maternity Hospital
²Department of Pediatrics, Nippon Medical School

Coarctation of the aorta without intracardiac structural anomaly is uncommon and is rarely detected during early infancy. We report here a case of simple coarctation of the aorta in a male newborn who was initially treated for postnatal transient tachypnea. A disparity in blood pressure between the upper and lower extremities prompted echocardiographic examination focused on the aortic isthmus. Heart failure due to afterload mismatch was confused with neonatal tachypnea in the first days after admission. Surgical repair was successfully performed, and the postoperative course was uneventful. Careful physical examination was the key clue to the correct diagnosis of this unusual condition in our patient.

日医大医会誌 2008; 4(1), 15-18

Key words
simple coarctation of the aorta, afterload mismatch, heart failure

Correspondence to
Sakae Kumasaka, Japanese Red Cross Katsushika Maternity Hospital, 5-11-12 Tateishi, Katsushika-ku, Tokyo 124-0012, Japan
E-mail：kumasaka@nms.ac.jp

受付：2007年7月30日　受理：2007年10月17日