Shiraishi Shuichi, Sugimoto Ai, Tsuchida Masanori
Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Interact Cardiovasc Thorac Surg. 2019 Nov 1;29(5):818-819. doi: 10.1093/icvts/ivz175.
A right-sided descending aorta with a left aortic arch is a rare congenital anomaly in which the aortic arch crosses the midline from the left side of the trachea coursing to the descending aorta in the right thoracic cavity. The surgical repair of an interrupted aortic arch with a right-sided descending aorta carries great risks of bronchial and oesophageal obstruction. Herein, we describe a case of successful surgical repair of an interrupted aortic arch with a right-sided descending aorta using the swing-back and trap-door techniques.
右侧降主动脉合并左位主动脉弓是一种罕见的先天性异常,其中主动脉弓从气管左侧越过中线,通向右侧胸腔内的降主动脉。对伴有右侧降主动脉的主动脉弓中断进行手术修复,存在支气管和食管梗阻的巨大风险。在此,我们描述一例使用回摆和活板门技术成功手术修复伴有右侧降主动脉的主动脉弓中断的病例。