Mongé Michael C, Hauck Amanda L, Popescu Andrada R, Forbess Joseph M, Backer Carl L
1 Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
2 Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
World J Pediatr Congenit Heart Surg. 2019 Jan;10(1):111-115. doi: 10.1177/2150135118815027.
Left mainstem bronchial compression by a midline descending thoracic aorta is a rare anatomic variant. Translocation of the descending thoracic aorta to the ascending aorta has recently been described to treat this condition. We performed an aortic translocation and right pulmonary artery reimplantation in a 4-month-old infant with severe pulmonary hypertension secondary to right pulmonary artery stenosis and left bronchial compression by a midline descending thoracic aorta. The procedure was successful in ameliorating the patient's left mainstem bronchial compression and pulmonary hypertension. Descending aortic translocation should be considered when the left bronchus is compressed causing respiratory symptoms.
降主动脉中线移位致左主支气管受压是一种罕见的解剖变异。最近有文献报道将降主动脉移位至升主动脉来治疗这种情况。我们对一名4个月大的婴儿进行了主动脉移位和右肺动脉再植入术，该婴儿因右肺动脉狭窄和降主动脉中线移位致左支气管受压继发严重肺动脉高压。手术成功缓解了患者的左主支气管受压和肺动脉高压情况。当左支气管受压导致呼吸道症状时，应考虑降主动脉移位术。
