Langley Stephen M, Sunstrom Rachel E, Reed Richard D, Rekito Andrew J, Gerrah Rabin
Section of Pediatric and Congenital Cardiac Surgery, Doernbecher Children’s Hospital, Oregon Health & Science University, Portland, OR 97239, USA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2013;16(1):43-51. doi: 10.1053/j.pcsu.2013.01.008.
Neonatal patients with hypoplasia of the aortic arch constitute a heterogeneous group with a wide spectrum of severity. The milder end of the spectrum comprises patients with aortic coarctation and isthmus hypoplasia. At the other end of the spectrum are patients with severe transverse arch hypoplasia or hypoplastic left heart syndrome. The aim of this paper is to discuss the various strategies and surgical approaches available for this group of patients, focusing on the surgical decisions that influence individual patient management. Many of the things discussed are applicable to any neonatal arch problem. We also describe and discuss in detail our surgical technique for patients who undergo neonatal repair of a hypoplastic aortic arch via median sternotomy.
患有主动脉弓发育不全的新生儿患者构成了一个异质性群体，严重程度范围广泛。该谱系较轻的一端包括患有主动脉缩窄和峡部发育不全的患者。谱系的另一端是患有严重横弓发育不全或左心发育不全综合征的患者。本文的目的是讨论针对这组患者可用的各种策略和手术方法，重点是影响个体患者管理的手术决策。所讨论的许多内容适用于任何新生儿弓部问题。我们还详细描述并讨论了通过正中胸骨切开术对发育不全的主动脉弓进行新生儿修复的患者的手术技术。
