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孤立性左头臂干动脉伴右位主动脉弓：一种大型动脉导管未闭的罕见鉴别诊断。

Isolated left brachiocephalic artery with the right aortic arch: A rare differential of large patent ductus arteriosus.

作者信息

Dubey Gajendra, Gupta Saurabh Kumar, Kothari Shyam Sundar

机构信息

Department of Cardiology, U N Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat, India.

Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Ann Pediatr Cardiol. 2017 Jan-Apr;10(1):78-81. doi: 10.4103/0974-2069.197067.

DOI:10.4103/0974-2069.197067
PMID:28163435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5241852/
Abstract

We report a case of isolation of the left brachiocephalic artery with the right aortic arch in a 9-year-old male child masquerading as large patent ductus arteriosus with left-to-right shunt. We have emphasized the subtle clinical findings which served as clues to the diagnosis.

摘要

我们报告一例9岁男性儿童，其左头臂动脉与右主动脉弓分离，伪装成有左向右分流的大型动脉导管未闭。我们强调了作为诊断线索的细微临床发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/86547c6580c4/APC-10-78-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/517fbb570cb1/APC-10-78-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/f9f12bc8ea35/APC-10-78-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/a450f529620e/APC-10-78-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/86547c6580c4/APC-10-78-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/517fbb570cb1/APC-10-78-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/f9f12bc8ea35/APC-10-78-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/a450f529620e/APC-10-78-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/5241852/86547c6580c4/APC-10-78-g004.jpg

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本文引用的文献

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Right-sided aorta with complete isolation of the left innominate artery.右侧主动脉伴左无名动脉完全孤立。
Radiol Case Rep. 2015 Dec 19;11(1):21-4. doi: 10.1016/j.radcr.2015.11.002. eCollection 2016 Mar.
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Right aortic arch with isolation of the left innominate artery in a case of double chamber right ventricle and ventricular septal defect.右位主动脉弓合并左无名动脉离断，见于一例双腔右心室合并室间隔缺损患者。
Ann Pediatr Cardiol. 2014 May;7(2):148-51. doi: 10.4103/0974-2069.132500.
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Isolated left brachiocephalic trunk arising from the main pulmonary artery with right aortic arch.
一例右位主动脉弓伴孤立性左无名动脉及全脑白质萎缩。
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Isolation of the left brachiocephalic artery revisited: A 52-year literature review and introduction of a novel anatomic-clinical-prognostic classification.左头臂动脉分离术再探讨：52年文献综述及一种新的解剖-临床-预后分类法介绍
Ann Pediatr Cardiol. 2019 May-Aug;12(2):117-129. doi: 10.4103/apc.APC_74_18.
孤立的左头臂干起源于主肺动脉并伴有右主动脉弓。
J Thorac Cardiovasc Surg. 2014 Feb;147(2):822-3. doi: 10.1016/j.jtcvs.2013.07.015. Epub 2013 Aug 24.
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MDCT angiography of isolated right subclavian artery.孤立性右锁骨下动脉的多层螺旋CT血管造影
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