Te Hoven Arianne S, Clur Sally-Ann B, Andreu Joaquin Perez, Hazekamp Mark G
Department of Pediatric Cardiology of the Emma Children's Hospital, Academic Medical Centre, Amsterdam, the Netherlands
Department of Pediatric Cardiology of the Emma Children's Hospital, Academic Medical Centre, Amsterdam, the Netherlands Center for Congenital Heart Anomalies Amsterdam-Leiden (CAHAL), Leiden, the Netherlands.
World J Pediatr Congenit Heart Surg. 2015 Apr;6(2):298-300. doi: 10.1177/2150135114566100.
We present two cases of isolated right subclavian artery from the right pulmonary artery (PA) associated with interrupted aortic arch, ventricular septal defect, left ventricular outflow tract obstruction, and 22q11 microdeletion. Both patients were successfully managed with bilateral PA banding initially followed by a modified Yasui operation. Isolation of the subclavian artery is rare but should always be taken into account, especially when bilateral PA banding is considered. The banding must then be placed on the PA distal to the origin of the subclavian artery.
我们报告两例右锁骨下动脉起源于右肺动脉（PA）并伴有主动脉弓中断、室间隔缺损、左心室流出道梗阻和22q11微缺失的病例。两名患者最初均成功接受了双侧肺动脉环扎术，随后进行了改良的安井手术。锁骨下动脉起源异常较为罕见，但在考虑双侧肺动脉环扎术时应始终予以考虑。此时，环扎带必须置于锁骨下动脉起源远端的肺动脉上。
