Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Gyeongsangnam-do, Republic of Korea.
Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Gyeongsangnam-do, Republic of Korea.
Ann Thorac Surg. 2019 Dec;108(6):e397-e399. doi: 10.1016/j.athoracsur.2019.04.015. Epub 2019 May 11.
A concomitant anterior translocation of the right pulmonary artery (RPA) can be used in patients with airway compression by a dilated RPA associated with congenital heart disease having a large left-to-right shunt or aortic arch anomaly. However a chest wall deformity and mechanical compression of the anteriorly translocated RPA could develop after the operation. In this situation simple RPA angioplasty is not sufficient. Therefore we adopted a technique to perform a concomitant Nuss procedure in an effort to resolve this problem. After 8 months of follow-up a widely patent RPA and a normal appearance of the chest wall were confirmed.
伴有右肺动脉（RPA）前移的先天性心脏病患者，当存在大的左向右分流或主动脉弓异常，引起右肺动脉扩张并压迫气道时，可以采用该术式。然而，术后可能会出现前胸壁畸形和 RPA 向前移位的机械性压迫。在这种情况下，单纯的 RPA 血管成形术是不够的。因此，我们采用了同期 Nuss 手术的技术来解决这个问题。经过 8 个月的随访，证实 RPA 通畅良好，前胸壁外观正常。
