Wang T M, Chen C W, Hsieh K S, Chi C S, Weng Z C
Section of Pediatrics, Veterans General Hospital-Taichung.
Zhonghua Yi Xue Za Zhi (Taipei). 1991 Nov;48(5):408-12.
A case of a 3-month-old male infant with severe LV dysfunction and a complete double aortic arch (both arches patient) is reported. The right dominant aortic arch runs retroesophageally to the right and joins with the left smaller arch to form the descending thoracic aorta on the right side while the ligamentum arteriosum was located in its normal position (the left side). Through a left thoracotomy, the smaller left arch and the ligamentum were divided to relieve the obstruction of the trachea from compression of the vascular ring. Postoperative convalescence was good. Further follow up of this patient after 9 months showed that there was neither any respiratory failure nor any heart failure sign present, though severe LV dysfunction persisted.
报道了一例3个月大的男性婴儿，患有严重的左心室功能障碍和完全性双主动脉弓（双侧主动脉弓患者）。右侧优势主动脉弓经食管后方走向右侧，与较小的左侧主动脉弓汇合，在右侧形成降胸主动脉，而动脉导管位于正常位置（左侧）。通过左胸切开术，将较小的左侧主动脉弓和动脉导管切断，以解除气管因血管环压迫而导致的梗阻。术后恢复良好。该患者9个月后的进一步随访显示，尽管严重的左心室功能障碍仍然存在，但既没有出现任何呼吸衰竭迹象，也没有心力衰竭迹象。
