法洛四联症分期修复术后21年出现的锁骨下动脉假性动脉瘤。
Pseudoaneurysm of subclavian artery 21-years after staged repair of tetralogy of Fallot.
作者信息
Demyanchuk V B, Dykucha S E, Dovgan A M, Lazorishinets V V
机构信息
Department of Cardiac Surgery, Institute of Cardiovascular Surgery, 03680 Kyiv, Ukraine.
出版信息
Eur J Cardiothorac Surg. 2002 Jan;21(1):114-6. doi: 10.1016/s1010-7940(01)01039-9.
Three cases of pseudoaneurysm of subclavian artery in long-term follow-up after staged repair of tetralogy of Fallot are described. The angiographical study revealed that aneurysms were located in the systemic end area of previously ligated modified Blalock-Taussing shunt. Aneurysmectomy with resection of a shunt and segment of subclavian artery was performed. We believe division of a prosthetic shunt should be routinely performed during complete repair of tetralogy to prevent morbidity in the long-term follow-up period.
本文描述了3例法洛四联症分期修复术后长期随访期间发生的锁骨下动脉假性动脉瘤病例。血管造影研究显示，动脉瘤位于先前结扎的改良Blalock-Taussing分流术的体循环端区域。进行了动脉瘤切除术，切除了分流术和锁骨下动脉的一段。我们认为，在法洛四联症的完全修复过程中，应常规进行人工分流术的切断，以防止长期随访期间出现并发症。
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