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本文引用的文献

1
Absent pulmonary valve, tricuspid atresia, and congenital heart block.肺动脉瓣缺如、三尖瓣闭锁和先天性心脏传导阻滞。
World J Pediatr Congenit Heart Surg. 2015 Jan;6(1):98-100. doi: 10.1177/2150135114544752.
2
Anomalous origin of the left subclavian artery from the pulmonary artery.左锁骨下动脉起源于肺动脉异常。
Cardiol Young. 2014 Feb;24(1):134-5. doi: 10.1017/S1047951113000735.
3
Isolated innominate artery as a cause of subclavian steal and cerebral hemisphere atrophy.
Pediatr Cardiol. 2010 Oct;31(7):1083-5. doi: 10.1007/s00246-010-9739-0. Epub 2010 May 26.
4
Isolated left subclavian artery.
Ann Thorac Surg. 2008 Nov;86(5):1697. doi: 10.1016/j.athoracsur.2008.01.063.
5
Three-dimensional computed tomography scan showing isolation of the left subclavian artery with tetralogy of Fallot and right aortic arch.三维计算机断层扫描显示法洛四联症合并右位主动脉弓时左锁骨下动脉离断。
Pediatr Cardiol. 2009 Feb;30(2):203-4. doi: 10.1007/s00246-008-9321-1. Epub 2008 Nov 11.
6
Anomalies of the derivatives of the aortic arch system.主动脉弓系统衍生物的异常。
Med Clin North Am. 1948 Jul;32:925-49. doi: 10.1016/s0025-7125(16)35662-0.
7
Successful transcatheter coil occlusion of a right-sided patent ductus arteriosus with aberrant left subclavian artery.成功经导管用弹簧圈封堵合并迷走左锁骨下动脉的右侧动脉导管未闭。
Tex Heart Inst J. 2006;33(3):365-7.
8
Complete correction of interrupted right aortic arch with isolation of left subclavian artery.右位主动脉弓中断伴左锁骨下动脉离断的完全矫正术
Ann Thorac Surg. 2005 Aug;80(2):733-5. doi: 10.1016/j.athoracsur.2004.02.028.
9
Congenital pulmonary steal phenomenon associated with tetralogy of Fallot, right aortic arch, and isolation of the left subclavian artery.法洛四联症、右位主动脉弓及左锁骨下动脉离断相关的先天性肺内分流现象
Pediatr Cardiol. 1997 Jan-Feb;18(1):57-60. doi: 10.1007/s002469900111.
10
Right aortic arch with isolation of the left subclavian artery.
Eur J Pediatr. 1980 Oct;135(1):107-9. doi: 10.1007/BF00445905.

一名新生儿出现孤立性左锁骨下动脉、完全性房室传导阻滞和三尖瓣闭锁。

Isolated Left Subclavian Artery, Complete Atrioventricular Block, and Tricuspid Atresia in a Neonate.

作者信息

Chaturvedi Kanupriya, Prasad Deepa, Ashwath Ravi, Strainic James P, Snyder Christopher S

出版信息

Tex Heart Inst J. 2016 Dec 1;43(6):546-549. doi: 10.14503/THIJ-15-5692. eCollection 2016 Dec.

DOI:10.14503/THIJ-15-5692
PMID:28100981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5179167/
Abstract

Isolated left subclavian artery is one of the rarer aortic arch anomalies. It has been associated with other congenital heart diseases, typically tetralogy of Fallot, double-outlet right ventricle, and atrial and ventricular septal defects. Its significant clinical implications include a left-to-right shunt from the vertebrobasilar system, which causes pulmonary overcirculation and subclavian steal. We present an unusual case of a premature infant who was diagnosed prenatally with congenital complete atrioventricular block and tricuspid atresia and was found to have an isolated left subclavian artery postnatally. The patient underwent implantation of a permanent single-chamber epicardial pacing system. To our knowledge, this combination of lesions has not been reported-and in our case, it influenced our surgical planning.

摘要

孤立性左锁骨下动脉是较为罕见的主动脉弓异常之一。它常与其他先天性心脏病相关，典型的如法洛四联症、右心室双出口以及房间隔和室间隔缺损。其重要的临床意义包括椎基底动脉系统出现左向右分流，这会导致肺循环过度和锁骨下动脉窃血。我们报告了一例罕见病例，一名早产儿在产前被诊断为先天性完全性房室传导阻滞和三尖瓣闭锁，出生后发现患有孤立性左锁骨下动脉。该患者接受了永久性单腔心外膜起搏系统植入术。据我们所知，这种病变组合此前尚未见报道，在我们的病例中，它影响了我们的手术规划。