主动脉闭锁合并主动脉弓中断的诺伍德手术期间的左锁骨下动脉灌注
Left Subclavian Artery Perfusion During the Norwood Operation for Interrupted Aortic Arch With Aortic Atresia.
作者信息
Maruo Ayako, Oshima Yoshihiro, Hasegawa Tomomi, Matsuhisa Hironori, Noda Rei, Iwaki Ryuma, Matsushima Shunsuke
机构信息
Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Hyogo, Japan.
Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Hyogo, Japan.
出版信息
Ann Thorac Surg. 2016 Feb;101(2):764-6. doi: 10.1016/j.athoracsur.2014.12.109.
The combination of aortic atresia and interrupted aortic arch is a rare condition. We describe a case of Norwood operation for this defect, in which a collateral artery from the descending aorta supplied coronary perfusion. The devised cardiopulmonary bypass technique is discussed, in which the left subclavian artery perfusion was utilized in addition to the cannulation to the descending aorta to secure the cerebral perfusion.
主动脉闭锁合并主动脉弓中断是一种罕见的病症。我们描述了一例针对该缺陷进行诺伍德手术的病例，其中降主动脉的一条侧支动脉供应冠状动脉灌注。本文讨论了所设计的体外循环技术，即在插管至降主动脉的基础上，还利用左锁骨下动脉灌注以确保脑灌注。
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