Daitoku Kazuyuki, Yamauchi Sanae, Suzuki Yasuyuki, Fukuda Ikuo
Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Congenit Heart Dis. 2014 Mar-Apr;9(2):E58-60. doi: 10.1111/chd.12074. Epub 2013 May 7.
The early outcomes of transaortic patch repair closure for aortopulmonary window are satisfactory, but the lifelong fate of the aorta and pulmonary artery remains unknown. We describe a 40-year-old patient with right pulmonary artery occlusion accompanied by aneurysmal dilation of the ascending aorta 38 years after transaortic repair of an aortopulmonary window. Operative findings revealed patch shrinkage and thrombotic occlusion of the right pulmonary artery. The dilated ascending aorta firmly adhered to the right pulmonary artery. After pulmonary artery thrombectomy, the right pulmonary artery was reconstructed and the dilated ascending aorta was replaced.
经主动脉补片修复术治疗主肺动脉窗的早期效果令人满意，但主动脉和肺动脉的长期转归仍不明确。我们描述了一名40岁的患者，在经主动脉修复主肺动脉窗38年后，出现右肺动脉闭塞并伴有升主动脉瘤样扩张。手术所见显示补片收缩以及右肺动脉血栓形成闭塞。扩张的升主动脉与右肺动脉紧密粘连。在肺动脉血栓清除术后，重建了右肺动脉并置换了扩张的升主动脉。
