Asunto(s)
Atrofia , Médula Ósea , Imagen por Resonancia Magnética , Humanos , Imagen por Resonancia Magnética/métodos , Médula Ósea/patología , Médula Ósea/diagnóstico por imagen , Femenino , Tejido Adiposo/diagnóstico por imagen , Tejido Adiposo/patología , Estudios de Seguimiento , Diagnóstico Diferencial , Persona de Mediana Edad , Enfermedades de la Médula Ósea/diagnóstico por imagen , Enfermedades de la Médula Ósea/patologíaRESUMEN
The aberrant right subclavian artery (i.e., arteria lusoria) arising from the left part of the aortic arch is a rare congenital anomaly. In some patients, esophageal compression may cause symptoms of dysphagia, also called dysphagia lusoria. It can cause serious feeding disorders and poor weight gain in young children. We present the case of an early onset of dysphagia lusoria in a 1-month-old girl whose clinical diagnosis was confirmed by esophagography and magnetic resonance imaging. This kind of vascular anomaly can present a diagnostic challenge and should be considered in diagnosing dysphagia in childhood.
Asunto(s)
Anomalías Cardiovasculares , Trastornos de Deglución , Femenino , Niño , Humanos , Lactante , Preescolar , Trastornos de Deglución/etiología , Anomalías Cardiovasculares/diagnóstico , Anomalías Cardiovasculares/diagnóstico por imagen , Arteria Subclavia/diagnóstico por imagen , Arteria Subclavia/anomalías , Aorta Torácica/diagnóstico por imagen , Aorta Torácica/anomalíasRESUMEN
BACKGROUND AND PURPOSE: Epicardial adipose tissue (EAT) is a metabolically active tissue located on the surface of the myocardium, which might have a potential impact on cardiac function and morphology. The aim of this study was to evaluate whether EAT is associated with essential arterial hypertension (AH) in children and adolescents. METHODS: Prospective cardiovascular magnetic resonance (CMR) study and clinical evaluation were performed on 72 children, 36 of whom were diagnosed with essential AH, and the other 36 were healthy controls. The two groups were compared in volume and thickness of EAT, end-diastolic volume, end-systolic volume, stroke volume, left ventricular (LV) ejection fraction, average heart mass, average LV myocardial thickness, peak filling rate, peak filling time and clinical parameters. RESULTS: Hypertensive patients have a higher volume (16.5 ± 1.9 cm3 and 10.9 ± 1.5 cm3 (t = -13.815, p < 0.001)) and thickness (0.8 ± 0.3 cm and 0.4 ± 0.1 cm, (U = 65.5, p < 0.001)) of EAT compared to their healthy peers. The volume of EAT might be a potential predictor of AH in children. CONCLUSIONS: Our study indicates that the volume of EAT is closely associated with hypertension in children and adolescents.