Welch E, Zabaleta I, Fojaco R, Perryman R
Department of Pediatrics, University of Miami School of Medicine, Florida 33101.
Pediatr Cardiol. 1991 Oct;12(4):229-32. doi: 10.1007/BF02310572.
The ascending aorta-main pulmonary artery (central) polytetrafluoroethylene (PTFE) Gore-Tex shunt was introduced in 1975 by Gazzaniga and coworker. It is a widely used palliative procedure. We present a case study with an unusual late complication. An aneurysm was discovered at autopsy in a patient who was diagnosed at birth with hypoplastic right ventricle, pulmonary valve atresia, small main and branched pulmonary arteries. At 4 days of age, the patient underwent an aorta to main pulmonary artery (PTFE) Gore-Tex shunt. Subsequent echocardiogram showed dilatation of the right ventricular outflow tract. To our knowledge, this is the first reported case of right ventricular outflow tract (RVOT) aneurysm following central aortopulmonary shunt.
升主动脉-主肺动脉（中心）聚四氟乙烯（PTFE）戈尔泰克斯分流术于1975年由加扎尼加及其同事引入。这是一种广泛应用的姑息性手术。我们呈现一个伴有不寻常晚期并发症的病例研究。一名出生时被诊断为右心室发育不全、肺动脉瓣闭锁、主肺动脉及分支细小的患者在尸检时发现了一个动脉瘤。该患者在4日龄时接受了主动脉至主肺动脉（PTFE）戈尔泰克斯分流术。随后的超声心动图显示右心室流出道扩张。据我们所知，这是首例关于中心性主肺动脉分流术后右心室流出道（RVOT）动脉瘤的报道病例。
