Obo H, Yamaguchi M, Oshima Y, Ohhashi H, Hosokawa Y, Tachibana H
Nihon Kyobu Geka Gakkai Zasshi. 1989 Aug;37(8):1620-4.
This paper presents a review of our experience of 3 cases of systemic to pulmonary artery shunt operation and 2 cases of subclavian flap aortoplasty using aberrant subclavian artery. The aberrant subclavian arteries were divided to release the vascular rings and were used as shunt grafts or reversed subclavian flaps. In case of shunt operation, this graft would be superior to the EPTFE graft of modified Blalock-Taussig shunt, from the point of view of the grafts' growth ability. In case of aortoplasty, if arch hypoplasia exists, this flap can repair it beyond the coarctation segment. When the aberrant subclavian artery is dissected, it should be avoided to use the contralateral subclavian artery, as it may cause cerebral damage because of the impairment of bilateral vertebral arterial circulation.
本文回顾了我们3例体-肺动脉分流术及2例使用迷走锁骨下动脉行锁骨下皮瓣主动脉成形术的经验。将迷走锁骨下动脉离断以松解血管环，并用作分流移植物或翻转的锁骨下皮瓣。在分流手术中，从移植物的生长能力来看，该移植物优于改良Blalock-Taussig分流术的EPTFE移植物。在主动脉成形术中，如果存在主动脉弓发育不全，该皮瓣可在缩窄段以外修复它。解剖迷走锁骨下动脉时，应避免使用对侧锁骨下动脉，因为这可能因双侧椎动脉循环受损而导致脑损伤。
