法洛四联症及左肺动脉起自升主动脉伴右侧颈内动脉缺如

Tetralogy of Fallot and anomalous origin of the left pulmonary artery from the ascending aorta associated with absent right internal carotid artery.

作者信息

Paredes Alberto Mendoza, Caspi Joseph, Lilje Christian

机构信息

The Division of Pediatric Cardiology, Children's Hospital and Louisiana State University, New Orleans, LA, USA.

Cardiothoracic Surgery, Children's Hospital and Louisiana State University, New Orleans, LA, USA

出版信息

World J Pediatr Congenit Heart Surg. 2015 Apr;6(2):324-7. doi: 10.1177/2150135114561687.

DOI:10.1177/2150135114561687

PMID:25870359

Abstract

Anomalous origin of the left pulmonary artery from the ascending aorta is a rare cardiac malformation more commonly described with tetralogy of Fallot (TOF). The association of absent right carotid artery with TOF and anomalous left pulmonary artery from the ascending aorta has been rarely reported in the past. This case highlights the need for careful evaluation of the aortic arch and head vessels anatomy in patients with TOF because of the potential neurologic complications after surgery.

摘要

左肺动脉起源于升主动脉是一种罕见的心脏畸形，更常见于法洛四联症（TOF）。既往很少报道右颈动脉缺如合并TOF及左肺动脉起源于升主动脉的情况。该病例强调了对于TOF患者需要仔细评估主动脉弓和头颈部血管解剖结构，因为术后可能出现神经系统并发症。