动脉调转术后因未识别的支气管侧支引起的肺出血。
Pulmonary Hemorrhage Due to Unrecognized Bronchial Collateral After Arterial Switch Operation.
机构信息
Department of Cardiac Anesthesia, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Department of Pediatric Cardiac Surgery, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
出版信息
Ann Thorac Surg. 2018 Mar;105(3):e117-e118. doi: 10.1016/j.athoracsur.2017.09.043.
We report a neonate with transposition of great arteries and intact ventricular septum who had a massive pulmonary hemorrhage soon after an arterial switch operation. An emergency cardiac catheterization revealed a large bronchial collateral artery from the descending aorta feeding the right lung. The hemorrhage was controlled by coil embolization of the collateral, and the patient recovered after prolonged intensive care.
我们报告了一例大动脉转位和完整室间隔的新生儿，在动脉调转手术后不久发生了大量肺出血。紧急心脏导管检查显示，来自降主动脉的大支气管侧支动脉为右肺供血。通过对侧支进行线圈栓塞，出血得到控制，患者在长时间的重症监护后康复。
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