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孤立的左颈总动脉与肺动脉相连:动脉导管在哪里?

Isolated left common carotid artery connected to the pulmonary artery: where was the arterial duct?

作者信息

Fouilloux Virginie, Gran Célia, Kreitmann Bernard

机构信息

Department of Thoracic and Cardiovascular Surgery, Timone Children's Hospital, Marseille, France.

出版信息

World J Pediatr Congenit Heart Surg. 2013 Apr;4(2):229-32. doi: 10.1177/2150135112473614.

Abstract

A three-year-old boy was referred for persistent arterial duct. Transthoracic echocardiography showed a right aortic arch and an unusual Doppler flow in the arch vessels and the pulmonary artery. The tomodensitometry showed a right-sided aortic arch, with successive origin of the right common carotid, the right subclavian artery, and an aberrant (lusoria) left subclavian artery. The left common carotid took origin from the pulmonary trunk. During surgery, a fibrous cord independent from the anomaly was identified. An end-to-side anastomosis between the left carotid and the ascending aorta was done and the fibrous cord was divided. Was this fibrous cord a ductal ligament?

摘要

一名三岁男孩因动脉导管持续未闭前来就诊。经胸超声心动图显示右位主动脉弓,且主动脉弓血管及肺动脉内存在异常多普勒血流。计算机断层扫描显示右位主动脉弓,右颈总动脉、右锁骨下动脉依次发出,左锁骨下动脉异常(迷走)发自降主动脉。左颈总动脉发自肺动脉干。手术过程中,发现一条与该畸形无关的纤维索。在左颈动脉与升主动脉之间进行了端侧吻合,并切断了纤维索。这条纤维索是动脉导管韧带吗?

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