|
|
|
| The value of echocardiographic diagnosis of Berry syndrome |
| YUAN Rui, WANG Xin-xia, WU Juan, LIU Yun, LI He-zhou |
| Department of Ultrasound, Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China |
|
|
|
|
Abstract Objective: By summarizing the echocardiography characteristics of Berry syndrome, the diagnostic value and thoughts of Berry syndrome were evaluated. Methods: The echocardiographic characteristics of six children diagnosed with Berry syndrome by CT examination or surgery in our hospital were retrospectively analyzed. The diagnostic value and thoughts of echocardiography were summarized and analyzed by reviewing relevant literature. The main pulmonary artery septum, ventricular septum, pulmonary artery branches and other conditions can be detected by multi-section view of apical five cavities, parasternal great artery short axis and pulmonary artery branch, and the condition of aortic arch can be displayed by long-axis view of superior thoracic aorta arch. Results: Six cases of Berry syndrome include: distal aortopulmonary septal defect, aortic origin of right pulmonary artery, interruption of aortic arch(type A), intact ventricular septum, and patent ductus arteriosus, combining with atrial septal defect in four cases, combining with patent foramen ovale in one case, one case with external cardiac malformation(hypospadias). One case of aortic origin of right pulmonary artery was missed. Conclusion: Echocardiography can be used as the preferred diagnostic method for Berry syndrome, which may be associated with extracardiac malformations. However, missing diagnosis may occur, which requires a clear idea of ultrasonic diagnosis.
|
|
Received: 21 February 2019
|
|
|
|
|
|
[1]Berry TE, Bharati S, Muster AJ, et al. Distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and hypoplasia of the aortic isthmus: a newly recognized syndrome[J]. Am J Cardiol, 1982, 49(1): 108-116.
[2]Hu R, Zhang W, Liu X, et al. Current outcomes of one-stage surgical correction for Berry syndrome[J]. J Thoracic Cardiovasc Surgery, 2017, 153（5）: 1139-1147.
[3]李静雅，杨娅，段晓岷，等. Berry综合征：一种罕见的心脏畸形及其心脏外合并症[J]. 中国科学：生命科学，2018，48（9）：995-1000.
[4]罗丽，赵毅兰，沈洁，等. 超声心动图对Berry综合征的诊断价值[J]. 中国临床新医学，2018，11（6）：596-599.
[5]王帆宁，彭芸，于彤，等. Berry综合征的超声及CT表现[J]. 放射学实践，2015，30（12）：1164-1168.
[6]余正春，马小静，夏娟，等. Berry综合征的影像学诊断[J]. 中华医学超声杂志，2016，13（10）：736-739.
[7]Kumar SR. A potential window into surgical outcomes for Berry syndrome[J]. J Thorac Cardiovasc Surg, 2017, 153(5): 1148-1149.
[8]杨静，丁文虹，莫莹，等. Berry综合征13例超声心动图诊断及临床分析[J]. 中国医药，2017，12（12）：1786-1789.
[9]缪伟，姜伊娜，王翠翠. Berry综合征产前超声心动图表现1例 [J]. 中国临床医学影像杂志，2017，28（1）：48.
[10]王正涛，张纯林. Berry综合征1例产前超声心动图诊断[J]. 安徽卫生职业技术学院学报，2018，17（1）：141-142.
[11]杨水华，田晓先，黎新艳，等. Berry综合征的产前超声心动图及病理解剖诊断研究[J]. 中华医学超声杂志，2016，13（11）：849-854.
[12]王佳莉，任卫东，胡金玲. 超声心动图诊断罕见Berry综合征二例 [J]. 中华医学超声杂志，2017，14（3）：239-240.
[13]任卫东，张玉奇，舒先红. 心血管畸形胚胎学基础与超声诊断[M]. 北京：人民卫生出版社，2015：218-223.
[14]Remon JI, Briston DA, Stern KW. Berry syndrome: the importance of genetic evaluation before surgical intervention[J]. Cardiol Young, 2016, 26(1): 188-190.
[15]Sharma J, Saleh M, Das BB. Berry syndrome with trisomy 13[J]. Pediatr Cardiol, 2002, 23(2): 205-209.
[16]Jayaram N, Knowlton J, Shah S, et al. Berry syndrome: a possiblegenetic link[J]. Pediatr Cardiol, 2013, 34(6): 1511-1513. |
|
|
|
