左锁骨下动脉异常合并右位主动脉弓患儿的外科治疗

Surgical management in paediatric patients with left abnormal subclavian artery and right aortic arch.

作者信息

Sodian R, Rassoulian D, Kaczmarek I, Kozlik-Feldmann R, Huber A, Reichart B, Daebritz S

机构信息

Department of Cardiac Surgery, Klinikum Grosshadern, Ludwig Maximilians University, Munich, Germany.

出版信息

Thorac Cardiovasc Surg. 2007 Jun;55(4):261-4. doi: 10.1055/s-2006-924628.

DOI:10.1055/s-2006-924628

PMID:17546560

Abstract

Left abnormal subclavian artery and right aortic arch is described as a rare cause of dyspnoea and dysphagia in paediatric patients. The optimal surgical management of such cases is not clearly established. We propose a single-stage repair by transection of the patent ductus arteriosus or ligamentum arteriosum and an additional transection of the left abnormal subclavian artery with reimplantation into the common carotid artery.

摘要

左位异常锁骨下动脉和右位主动脉弓被描述为儿科患者呼吸困难和吞咽困难的罕见原因。此类病例的最佳手术治疗方法尚未明确确立。我们建议通过切断动脉导管或动脉韧带进行一期修复，并额外切断左位异常锁骨下动脉，将其重新植入颈总动脉。