Parikh Rishi, Eisses Michael, Latham Gregory J, Joffe Denise C, Ross Faith J
1 Rady Children's Hospital, San Diego, CA, USA.
2 University of Washington, Seattle, WA, USA.
Semin Cardiothorac Vasc Anesth. 2018 Sep;22(3):285-293. doi: 10.1177/1089253218778826. Epub 2018 May 29.
Truncus arteriosus is a congenital cardiac lesion in which failure of embryonic truncal septation results in a single semilunar valve and single arterial trunk providing both pulmonary and systemic circulations. Most patients with this lesion are symptomatic in the neonatal period with cyanosis and/or congestive heart failure and undergo complete repair in the first weeks of life. This review will focus on the anatomy, physiology, and perioperative anesthetic management of patients with truncus arteriosus.
共同动脉干是一种先天性心脏病变，胚胎期动脉干分隔失败导致单一的半月瓣和单一的动脉干，为肺循环和体循环供血。大多数患有这种病变的患者在新生儿期出现症状，表现为青紫和/或充血性心力衰竭，并在出生后的头几周接受完全修复。本综述将聚焦于共同动脉干患者的解剖学、生理学和围手术期麻醉管理。
