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[左肺动脉异常的外科治疗]

[Surgical treatment of anomalous left pulmonary artery].

作者信息

Carretero Juan M, Huertas Manuel, Prada Fredy, Rissech Miquel, Jiménez Lorenzo, Bartrons Joaquim, Mayol Javier, Caffarena José M

机构信息

Cardiología Pediátrica, Unidad Integrada, Hospital Sant Joan de Dèu-Hospital Clínic, Barcelona, España.

出版信息

Rev Esp Cardiol. 2011 Apr;64(4):338-41. doi: 10.1016/j.recesp.2010.06.008. Epub 2011 Mar 4.

Abstract

We report our experience with the surgical treatment of anomalous origin of the left pulmonary artery in eight children between 2004 and 2009. The congenital heart disease most frequently associated with this condition was patent ductus arteriosus. Surgery was carried out with extracorporeal circulation in five children, and without, in three. The anomalous pulmonary artery was divided and translocated to the main pulmonary artery. One patient died soon after surgery because of hemodynamic instability and another died later because of respiratory complications. The other patients progressed satisfactorily during follow-up: the reimplanted artery remained patent in all cases and respiratory symptoms improved. However, one patient required endoscopic treatment.

摘要

我们报告了2004年至2009年间对8例儿童左肺动脉异常起源进行手术治疗的经验。与这种情况最常相关的先天性心脏病是动脉导管未闭。5例患儿在体外循环下进行手术,3例未使用体外循环。将异常的肺动脉切断并移位至主肺动脉。1例患者术后不久因血流动力学不稳定死亡,另1例后来因呼吸并发症死亡。其他患者在随访期间病情进展良好:所有病例中再植入的动脉均保持通畅,呼吸症状改善。然而,1例患者需要内镜治疗。

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