一种通过置入自体肺动脉管道治疗右侧主动脉弓中断的新型手术技术。
A Novel Surgical Technique for Right-Sided Interrupted Aortic Arch by Interposition of a Pulmonary Autograft Tube.
作者信息
Kato Nobuyasu, Yamagishi Masaaki, Miyazaki Takako, Maeda Yoshinobu, Asada Satoshi, Hongu Hisayuki, Yamashita Eijiro, Yaku Hitoshi
机构信息
Department of Pediatric Cardiovascular Surgery, Children's Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Department of Pediatric Cardiovascular Surgery, Children's Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan.
出版信息
Ann Thorac Surg. 2016 Aug;102(2):e125-7. doi: 10.1016/j.athoracsur.2015.11.072.
Right-sided interrupted aortic arch (IAA) is a rare cardiac anomaly. In general, the right bronchus sits higher than the left bronchus, so aortic arch reconstruction with a direct anastomosis has a risk of tracheal and bronchial obstruction. This report describes the successful definitive repair of a right-sided IAA in a 2.5-kg neonate by aortic arch reconstruction with a pulmonary autograft tube (PA tube). Postoperative three-dimensional multidetector computed tomography showed the reconstructed aortic arch without airway obstruction or aortic stenosis. The use of a PA tube is a simple and useful technique for aortic arch reconstruction in patients with a high risk of tracheal andbronchial obstruction, such as right-sided IAA.
右侧主动脉弓中断（IAA）是一种罕见的心脏畸形。一般来说，右支气管比左支气管位置高，因此直接吻合进行主动脉弓重建有导致气管和支气管梗阻的风险。本报告描述了通过使用自体肺动脉管道（PA管道）进行主动脉弓重建，成功根治性修复了一名体重2.5千克新生儿的右侧IAA。术后三维多排计算机断层扫描显示重建的主动脉弓无气道梗阻或主动脉狭窄。对于有气管和支气管梗阻高风险的患者，如右侧IAA患者，使用PA管道是一种简单且有用的主动脉弓重建技术。
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