Miki Yasunobu, Waki Kenji, Arakaki Yoshio
Department of Pediatrics, Kurashiki Central Hospital.
Int Heart J. 2018 Sep 26;59(5):1166-1168. doi: 10.1536/ihj.17-258. Epub 2018 Aug 11.
Pulmonary artery damage is difficult to estimate in a patient with one pulmonary artery from the aorta, and the pulmonary artery of anomalous origin is usually damaged. We describe a newborn patient with anomalous origin of the right pulmonary artery from the aorta who presented with significant lung perfusion at the anastomotic site 6 months postoperatively; the left/right perfusion ratio was 10:90 on a scintigram. The unbalanced left/right lung perfusion gradually improved over a number of years. In a newborn patient with anomalous origin of one pulmonary artery from the aorta, unbalanced lung perfusion may improve.
对于仅有一条肺动脉发自主动脉的患者，肺动脉损伤很难评估，且异常起源的肺动脉通常会受损。我们描述了一名右肺动脉起源于主动脉的新生儿患者，其术后6个月吻合部位出现明显的肺灌注；闪烁扫描显示左右肺灌注比为10:90。多年来，左右肺灌注不平衡逐渐改善。对于右肺动脉起源于主动脉的新生儿患者，肺灌注不平衡可能会改善。
