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B 型主动脉弓中断:诊断与外科治疗方法。

Type B Interrupted Right Aortic Arch: Diagnostic and Surgical Approaches.

机构信息

Department of Cardiology and Pediatrics, Boston Children's Hospital, Boston, Massachusetts.

Department of Pediatrics, Bambino Gesu Children's Hospital, Rome, Italy.

出版信息

Ann Thorac Surg. 2019 Jan;107(1):e41-e43. doi: 10.1016/j.athoracsur.2018.05.098.

DOI:10.1016/j.athoracsur.2018.05.098
PMID:30009804
Abstract

Interrupted right aortic arch is a rare congenital cardiovascular anomaly typically associated with other forms of congenital heart disease. We report two cases of interrupted right aortic arch associated with isolated left pulmonary artery and bilateral ductus arteriosus in the first case and with truncus arteriosus in the second case. Computed tomography was complementary to echocardiography in delineating the anatomic details in both cases, informing surgical repair with reconstruction of a left aortic arch in the first case and right arch in the second case.

摘要

右位主动脉弓中断是一种罕见的先天性心血管畸形,通常与其他类型的先天性心脏病有关。我们报告了两例右位主动脉弓中断伴孤立性左肺动脉和双侧动脉导管未闭的病例,一例伴动脉干,一例伴右位主动脉弓中断。在这两例病例中,计算机断层扫描对超声心动图起到了补充作用,详细描述了解剖学细节,指导了手术修复,一例采用了左位主动脉弓重建,另一例采用了右位主动脉弓重建。

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