Lim Cheong, Kim Woong-Han, Kim Soo-Cheol, Lee Jae-Young, Kim Soo-Jin, Kim Yang-Min
Department of Cardiovascular Surgery, Sejong General Hospital, Bucheon-shi, Kyungki-do, South Korea.
Ann Thorac Surg. 2002 Nov;74(5):1702-4. doi: 10.1016/s0003-4975(02)04011-0.
Truncus arteriosus is a rare form of congenital heart defect. Among cases, 10% to 20% are associated with arch anomalies, such as interruption, coarctation, or patent ductus arteriosus. We treated a rare case of combined truncus with complex arch anomaly. The patient was a 2-month-old girl weighing 3.8 kg. Echocardiogram and computed tomogram showed interrupted aortic arch, truncus arteriosus, persistent fifth aortic arch, and its coarctation. One-stage total correction was performed under cardiopulmonary bypass without circulatory arrest. The operation consisted of a Rastelli procedure with a 12-mm valved conduit, coarctoplasty, and intraventricular baffling. The patient recovered well without complications.
共同动脉干是一种罕见的先天性心脏缺陷形式。在病例中，10%至20%与主动脉弓异常有关，如中断、缩窄或动脉导管未闭。我们治疗了一例合并复杂主动脉弓异常的共同动脉干罕见病例。患者为一名2个月大的女孩，体重3.8千克。超声心动图和计算机断层扫描显示主动脉弓中断、共同动脉干、持续的第五主动脉弓及其缩窄。在体外循环下进行了一期完全矫正，未进行循环阻断。手术包括使用12毫米带瓣管道的Rastelli手术、缩窄成形术和心室内分流术。患者恢复良好，无并发症。
