Kessler R M, Wernly J A, Katz R W, Berman W
Thoracic and Cardiovascular Division, University of New Mexico, Albuquerque 87131.
J Card Surg. 1992 Mar;7(1):5-8. doi: 10.1111/j.1540-8191.1992.tb00771.x.
Pulmonary artery sling is an unusual anomaly. The results of surgical therapy have been unsatisfactory in the past because of poor long-term left pulmonary artery patency and failure to address concomitant primary tracheobronchial stenoses. Refinement of suture materials and microsurgical techniques have allowed earlier surgical treatment of tracheal stenosis and have led to improved pulmonary artery patency rates. Intermediate results of primary one-stage repair with tracheal resection and left pulmonary artery reimplantation or translocation in early childhood have been promising. It remains to be seen whether late anastomotic tracheal stenosis will be a problem. This constitutes the first report of a case of one-stage repair with tracheal resection and left pulmonary artery reimplantation in an infant.
肺动脉吊带是一种罕见的异常情况。过去，由于左肺动脉长期通畅性差以及未能解决合并的原发性气管支气管狭窄问题，手术治疗效果并不理想。缝合材料和显微外科技术的改进使得能够更早地对气管狭窄进行手术治疗，并提高了肺动脉通畅率。在幼儿期进行气管切除和左肺动脉再植或移位的一期原发性修复的中期结果很有前景。晚期吻合口气管狭窄是否会成为问题还有待观察。本文首次报道了一例婴儿接受气管切除和左肺动脉再植一期修复的病例。
