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肺动脉起源异常合并主动脉单支肺动脉术后肺灌注

Postoperative Lung Perfusion with Anomalous Origin of One Pulmonary Artery from the Aorta.

作者信息

Miki Yasunobu, Waki Kenji, Arakaki Yoshio

机构信息

Department of Pediatrics, Kurashiki Central Hospital.

出版信息

Int Heart J. 2018 Sep 26;59(5):1166-1168. doi: 10.1536/ihj.17-258. Epub 2018 Aug 11.

Abstract

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.

摘要

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。

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