hẹp động mạch phổi bs đào hữu trung



10% caực beọnh tim baồm sinh:

! "#!$#% &

'()*(+," (,-!"./0!
!1"2"#2!&0-+*

,.!-+!#((3#%4
Nguyeõn nhaõn

56("7689(+-

.(!:;<=:>(??(-$
$:@*?* -$(4

,AA(B<//=
C9D!((=E
(%(<)9(?,*.
1. Heïp van ÑMP :

'F-</(-G=,G?2$%/B*+
".E

HIJK-( $%//9L2<2!
<):A

 2<&:3$(B=,E/<)=
$2<B<%: #=<2E
2. Heïp treân van ÑMP


#<+(#2<2<M:N

;(AO!+!<A((2!4P
99!QB<MME
.$-B<MNE
99.$-
+#+(:-:2<=2+B,<E

;(AO?2$%-2!-.+B-A
@*?E
;(AK+"M(:*.((BR:?$
'?$E
.(!<!2<"=1.B>(??(-$$9
?(??E

A,!<< (#%!! &
3. Heïp döôùi van ÑMP
#!+A,2<?-AN#G$#2(!#,?
0(<)S3$(=%(S=%(/!2( (
B-=(/(!?(ES=%("(MBH*ME
+F!+<%(
;A-$

,-!".2<4 KA!(.!

 (+( &4+F!:F-:,
(-

=2<2:!?(!K<2:H!"A(


+H:," (,".2<2S/S&T
.?A-$

0 2!?.!<%(@ULVCV
@CV!BWI XVII E
$@YCVB9E#%CV9LCZ

[O
=
7"2(:M< ((%-

(AA-0
[!"1! "/"(-!".2<
(.$+<?2!UT
72
 ?A-$

 2

 &#%%$#$(

%K-$

 KA"( 7

 2<=#(/

 2<A//!!
'()*(+


#%&! ?(AO/#(-+!#((<
( 

;(AO/#(F!!%:=,:=:$,


CB(+-
A?2(

2<20
A<U\ZI 
<?2!\]<?2!

2</0
A<ULZI 9
\^I 

2<&0
A<UL^I 
<?2!L<?2!
(M1

.(K

2(K0!_/B!KV`aV!_/G-(+
/B<!E

(--2!2!!(.<0/*b*
c"1<).


A<LZI 9\^I  *

A<L^I G// ).
).+*+*2(H?
 (%(<)
I/ Heïp taïi van

'F-</GU9-$#$(
B7/-E

',/BM,0-,N-$E
'2M,0-!(=
;2$%BE

3$(*#-<B ($$?
(=$EGU9-B$(E
II/ HEÏP TREÂN VAN

M9N
,<0 U.!)9A-
 U#(<A!(
 UCU(M!)92(/(9A-

;(AO?2$%-2!-.+B@*?9
R9>(??(-$$9?(??E?'?$
deD
III/ HEÏP DÖÔÙI VAN

(<)BR=(*?-E


(+<%( B=( /(!? - H*ME
deD
fB;S@;E
fBgD@E
f
BD;;S@@;E
fC
B@;G@@;E
TL : Classification of pulmonary artery stenosis. Modified from Gay BB Jr et al : AJR 1963 ; 90 : 599)
2<".-2!< (
!! ?A-$

 2

 &#%%$#$(

 K-$

 KA"( 7

 2<=#(/

 2<A//%!!
C
Muïc tieâu sieâu aâm
V4 1/1#(2<02(/SA/S=#(/4
H4 hF!#!!!*M(-
W4 [!"1-!".2<0H'S".!A<?2!

+<%(BE:".-2!< (BE
Z4 [!"1$2#2<?".-2!< (&!!U
KAA".-2!< (
a4 "#KF//W?S!,KA#%/
W?4
Q4 7-! #<+(#2<4
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Quy trình siêu âm
Mặt cắt cạnh ức trục dọc:
h%$/H'/!?(A+S$+(S
KF!#!!!*M(-4
Mặt cắt cạnh ức trục ngang – ngang van động
mạch chủ:

7 ?/".-2!< (0=M,S-#%7
/-BH'E

hF!#!<)".-2!< (S//".
-2!< (SA/!!".-2!< (S
!,KA=".-2!< ($2<4

7%-?.< !%=-N,"(
O<)".-2!< (//".
-2!< (4B'<<?-E

< '<<??(A2!=-"(O
!)2<!*(+".A<?2!(+<%(
/".-2!< (4
Mặt cắt dưới sườn trục ngang:
#2!2!2!4

Mặt cắt trên hõm ức:
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< (<%(4