左动脉导管起源的孤立无名动脉伴右主动脉弓的外科姑息治疗
Surgical Palliation of Right Aortic Arch With an Isolated Innominate Artery From the Left Ductus Arteriosus.
作者信息
Schwartz Matthew C, Pourmoghadam Kamal, O'Brien Michael, Fleishman Craig E, DeCampli William
机构信息
1 The Heart Center, Arnold Palmer Hospital for Children, Orlando, FL, USA.
2 University of Central Florida School of Medicine, Orlando, FL, USA.
出版信息
World J Pediatr Congenit Heart Surg. 2018 Jan;9(1):98-100. doi: 10.1177/2150135117737688.
A right aortic arch with an isolated left innominate artery from the left patent ductus arteriosus is a rare arch anomaly, and establishing continuity between the innominate artery and aorta can be challenging. We describe repair of this lesion in a three-week-old male using an autologous pedicle flap of ascending aorta as well as a homograft patch as the roof to recreate continuity between the aorta and left innominate artery.
右位主动脉弓伴发自左位动脉导管未闭的孤立性左无名动脉是一种罕见的主动脉弓异常，建立无名动脉与主动脉之间的连续性可能具有挑战性。我们描述了一名三周大男性患儿该病变的修复过程，使用升主动脉自体带蒂皮瓣以及同种异体移植物补片作为顶盖来重建主动脉与左无名动脉之间的连续性。
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