Ventemiglia R, Oglietti J, Wukasch D C, Hallman G L, Cooley D A
J Thorac Cardiovasc Surg. 1976 Aug;72(2):235-42.
During a 10 year period, January, 1965, through January, 1975, 5 patients with interruption of the aortic arch (IAA) underwent operation at the Texas Heart Institute. The mortality rate was 60 per cent; 2 patients survived the operation. One 11-day-old infant with IAA, type A, a ventricular septal defect (VSD), and a patent ductus arteriosus (PDA) underwent successful two-stage treatment. A left subclavian-ductus anastomosis, closure of the PDA, and banding of the pulmonary artery were done initially. The VSD was closed later. The second survivor, a 3-year-old girl, had IAA, type B, with a PDA and VSD. Total correction was done with the aid of cardiopulmonary bypass and hypothermia. Considerations include palliative and staged procedures versus total correction with either conventional cardiopulmonary bypass or deep hypothermia and circulatory arrest. Survival rate is improved if associated lesions are totally repaired or palliated at the time of reconstruction of IAA.
在1965年1月至1975年1月的10年期间，5例主动脉弓中断（IAA）患者在德克萨斯心脏研究所接受了手术。死亡率为60%；2例患者术后存活。一名11天大的患有A型IAA、室间隔缺损（VSD）和动脉导管未闭（PDA）的婴儿接受了成功的两阶段治疗。最初进行了左锁骨下动脉-动脉导管吻合术、PDA结扎和肺动脉环扎术。随后关闭了VSD。第二名存活者是一名3岁女孩，患有B型IAA、PDA和VSD。在体外循环和低温辅助下进行了完全矫正。需要考虑的因素包括姑息性和分期手术与采用传统体外循环或深度低温和循环停止的完全矫正。如果在IAA重建时将相关病变完全修复或姑息治疗，存活率会提高。
