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主动脉肺动脉窗内左锁骨下动脉起源于肺动脉及右主动脉弓异常

Aberrant origin of left subclavian artery from the pulmonary artery and right aortic arch in an aortopulmonary window.

作者信息

Zhu Cuilin, Wang Tiance, Zhu Zhicheng, Liu Kexiang

机构信息

Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, Jilin, China.

Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, Jilin, China

出版信息

Interact Cardiovasc Thorac Surg. 2016 Dec;23(6):991-992. doi: 10.1093/icvts/ivw143. Epub 2016 Aug 1.

Abstract

Aortopulmonary window (APW) is a rare congenital anomaly that occurs in 0.2-0.6% of congenital heart diseases. APW often coexists with other cardiac malformations. However, APW together with aberrant origin of the left subclavian artery (LSA) from the main pulmonary artery is rarely seen. Here, we report an infant with right aortic arch in APW, who was found to have aberrant origin of the LSA from the main pulmonary artery. We confirmed its origin in the anatomical settings and modified a repair technique according to his individual situation, which brought successful results to the patient.

摘要

主肺动脉窗(APW)是一种罕见的先天性异常,在先天性心脏病中发生率为0.2%-0.6%。APW常与其他心脏畸形并存。然而,APW合并左锁骨下动脉(LSA)起源于主肺动脉的情况很少见。在此,我们报告1例APW合并右位主动脉弓的婴儿,该婴儿被发现LSA起源于主肺动脉。我们在解剖环境中确认了其起源,并根据其个体情况改进了修复技术,给患者带来了成功的治疗结果。

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