Department of Cardiovascular Surgery, Kobe Children' s Hospital, Kobe, Japan.
Eur J Cardiothorac Surg. 2012 Apr;41(4):e59-61. doi: 10.1093/ejcts/ezr269. Epub 2012 Jan 13.
This report describes a case with double outlet right ventricle and doubly committed ventricular septal defect associated with congenital diaphragmatic hernia. The patient underwent pulmonary artery banding and clipping of patent ductus arteriosus after repair of the diaphragmatic hernia. At 6 months, cardiac catheterization revealed anomalous origin of a single coronary artery from the pulmonary artery of the proximal banding. Although ischaemic symptoms had not been observed, the banding had resulted in compression of the coronary ostium. An emergency Rastelli procedure with Damus-Kaye-Stansel anastomosis was successfully performed.
本报告描述了一例伴有右心室双出口和双重流出道室间隔缺损的先天性膈疝病例。该患者在膈疝修补术后接受了肺动脉环缩术和动脉导管未闭结扎术。6 个月时，心导管检查显示单一冠状动脉异常起源于近端环缩的肺动脉。尽管未观察到缺血症状，但环缩术导致了冠状动脉口的压迫。紧急施行 Rastelli 手术并进行了 Damus-Kaye-Stansel 吻合术。
