Schuster T, Hecker W C, Ring-Mrozik E, Mantel K, Vogl T
Paediatric Surgical Clinic, University Children's Hospital of Munich, FRG.
Prog Pediatr Surg. 1991;27:231-43. doi: 10.1007/978-3-642-87767-4_13.
This is a report on 35 cases of innominate artery compression of the trachea and its surgical correction by means of aortotruncopexy. Diagnostic procedures of choice were tracheoscopy and magnetic resonance imaging, which offers representative images of inspiration and expiration, shows the anatomical relations between aortic arch and trachea and reveals the extent of tracheal compression. Surgical treatment is indicated if narrowing of the tracheal lumen exceeds 70%. By fixation of the aortic arch and the proximal innominate artery to the back of the sternum, tracheal compression is relieved. There was no unsuccessful operation in the 35 children. One late death occurred from cardiac failure, unrelated to tracheal compression.
这是一篇关于35例无名动脉压迫气管及其通过主动脉弓截断固定术进行手术矫正的报告。首选的诊断方法是气管镜检查和磁共振成像，磁共振成像可提供吸气和呼气的代表性图像，显示主动脉弓与气管之间的解剖关系，并揭示气管受压的程度。如果气管腔狭窄超过70%，则需进行手术治疗。通过将主动脉弓和无名动脉近端固定于胸骨后，可缓解气管压迫。35例患儿手术均成功。有1例患儿晚期死于心力衰竭，与气管压迫无关。
