动脉调转术治疗伴有双侧动脉导管未闭和右位主动脉弓的完全性大动脉转位后Kommerell憩室切除术

Resection of Kommerell Diverticulum After the Arterial Switch for TGA With Bilateral PDAs and Right Aortic Arch.

作者信息

Ochiai Yoshie, Joo Kunihiko, Onzuka Tatsushi, Nakashima Atsuhiro, Nagatomo Yusaku, Watanabe Mamie, Muneuchi Jun

机构信息

Department of Cardiovascular Surgery, Japan Community Healthcare Organization (JCHO), Kyusyu Hospital, Kitakyushu, Japan.

出版信息

Ann Thorac Surg. 2016 Oct;102(4):e321-3. doi: 10.1016/j.athoracsur.2016.02.067.

DOI:10.1016/j.athoracsur.2016.02.067

PMID:27645972

Abstract

We present a very rare case of bilateral ductus arteriosus in transposition of the great arteries with right aortic arch and aberrant retroesophageal left subclavian artery (SCA). Around 1 month after the successful arterial switch operation, the baby showed wheezing and retractive breathing. The computed tomography revealed that trachea and esophagus were sandwiched between the posterior displaced ascending aorta and the origin of the retroesophageal aberrant left SCA, the so-called Kommerell diverticulum (KD). This compression was successfully relieved by resection of the KD and division of the retroesophageal aberrant SCA through right thoracotomy.

摘要

我们报告了一例极为罕见的病例，该病例为大动脉转位合并右位主动脉弓及食管后左锁骨下动脉（SCA）异常时出现双侧动脉导管。在成功进行动脉调转手术后约1个月，婴儿出现喘息和吸气性呼吸困难。计算机断层扫描显示，气管和食管夹在向后移位的升主动脉与食管后异常左SCA的起始部之间，即所谓的Kommerell憩室（KD）。通过右胸切口切除KD并切断食管后异常SCA，成功解除了这种压迫。