Kawashima Y, Oyama C, Mori T, Manabe H
J Cardiovasc Surg (Torino). 1975 Jul-Aug;16(4):426-31.
A four-year-old girl underwent complete correction of the association of interruption of the aortic arch (Type A, Celoria and Patton's classification), patent ductus arteriosus, and ventricular septal defect. The surgical procedure consists of establishment of a continuity between the ascending and descending aortas utilizing the patent ductus arteriosus and the anterior wall of the pulmonary arterial trunk, reconstruction of the rest of pulmonary arterial trunk with pericardium, and closure of the ventricular septal defect. Though the patient expired from cerebral complications, the hemodynamic result after repair was quite satisfactory. The procedure described makes total correction of this complex anomaly feasible at one operation through a median sternotomy and seems to be a method of choice for most patients with this association of anomalies, unless there is severe narrowing of the patent ductus arteriosus.
一名四岁女童接受了主动脉弓中断（A型，Celoria和Patton分类）、动脉导管未闭及室间隔缺损联合畸形的完全矫正手术。手术过程包括利用动脉导管未闭和肺动脉干前壁建立升主动脉和降主动脉之间的连续性，用心包重建肺动脉干的其余部分，以及关闭室间隔缺损。尽管患者因脑部并发症死亡，但修复后的血流动力学结果相当令人满意。所述手术方法通过正中胸骨切开术可在一次手术中对这种复杂畸形进行完全矫正，并且似乎是大多数患有这种联合畸形患者的首选方法，除非动脉导管未闭存在严重狭窄。
