Hamzeh G, Crespo A, Rey E, Blanco R, Luis M, Rodríguez M A, Aramendi J
Division of Cardiac Surgery, Hospital de Cruces, Bilbao, Spain.
World J Pediatr Congenit Heart Surg. 2011 Apr;2(2):324-6. doi: 10.1177/2150135110389830.
The authors report a case of a neonate that was operated on with the diagnosis of right aortic arch and aberrant left subclavian artery and anomalous origin of right pulmonary artery from ascending aorta. Computed tomography (CT) scan suggested double aortic arch and cardiac catheterization suggested anomalous origin of right pulmonary artery from ascending aorta versus aorto-pulmonary window. The final diagnosis was made at the operation. There was a right aortic arch and aberrant left subclavian artery and persistent ductus arteriosus. Surgical repair consisted of section of the ductus arteriosus and reimplantation of the right pulmonary artery in the main pulmonary artery.
作者报告了一例新生儿病例,该患儿接受手术,诊断为右位主动脉弓、左锁骨下动脉异常以及右肺动脉起源于升主动脉异常。计算机断层扫描(CT)显示双主动脉弓,心导管检查提示右肺动脉起源于升主动脉而非主-肺动脉窗。最终诊断在手术时确定。存在右位主动脉弓、左锁骨下动脉异常以及动脉导管未闭。手术修复包括切断动脉导管以及将右肺动脉重新植入主肺动脉。