Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Department of Pharmacy, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Ann Thorac Surg. 2019 Jul;108(1):e35-e36. doi: 10.1016/j.athoracsur.2018.05.097.
Anomalous origin of the pulmonary artery from the ascending aorta can lead to congestive heart failure in infancy, and with advancing age many patients will experience severe pulmonary hypertension. Surgical intervention has high mortality and morbidity risks if this happens. Strategies to manage these patients seem only limited to heart-lung transplantation or lung transplantation. Here, we successfully performed surgical intervention in an adult patient who had anomalous origin of the right pulmonary artery from the ascending aorta with high pressures in the ascending aorta and normally originating pulmonary artery.
肺动脉异常起源于升主动脉可导致婴儿充血性心力衰竭，随着年龄的增长，许多患者将经历严重的肺动脉高压。如果发生这种情况，手术干预的死亡率和发病率风险很高。对于这些患者的治疗策略似乎仅限于心肺移植或肺移植。在这里，我们成功地对一名成年患者进行了手术干预，该患者的右肺动脉异常起源于升主动脉，升主动脉和正常起源的肺动脉压力较高。
