Bonello Béatrice, Ghez Olivier, Fraisse Alain
Département de Cardiologie (Pédiatrique), Hôpital de la Timone, Boulevard Jean Moulin, Marseille, France.
Cardiol Young. 2008 Feb;18(1):105-7. doi: 10.1017/S1047951107001655. Epub 2007 Dec 20.
An infant of 2 months presented with absence of the femoral pulses, albeit with no signs of cardiac failure. The mother was known to have ingested Valproate during pregnancy. Echocardiography showed the aortic arch to be interrupted between the left common carotid and left subclavian arteries, so-called type B interruption, in the setting of an intact ventricular septum. Angiography, and multislice computed tomography, revealed the descending aorta to be supplied by a collateral artery originating from the right subclavian artery. Corrective surgery was successfully performed, but revealed an atretic segment of the arch at the site of interruption of flow.
一名2个月大的婴儿出现股动脉搏动消失，但无心力衰竭迹象。已知其母亲在孕期服用过丙戊酸盐。超声心动图显示主动脉弓在左颈总动脉和左锁骨下动脉之间中断，即所谓的B型中断，室间隔完整。血管造影和多层计算机断层扫描显示降主动脉由一条起源于右锁骨下动脉的侧支动脉供血。成功实施了矫正手术，但在血流中断部位发现主动脉弓有一段闭锁。
