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一名青少年的双主动脉弓合并主动脉缩窄：解读血管环

Double Aortic Arch with Coarctation of Aorta in an Adolescent: Unraveling the Vascular Ring.

作者信息

Rajbanshi Bijoy G, Acharya Anil, Neupane Prabesh, Gautam Milan, Sharma Apurb, Kayastha Bhuwan, Ghimire Ram K, Sharma Ranjit, Joshi Lava N

机构信息

Department of Cardiothoracic and Vascular Surgery, Nepal Mediciti, Lalitpur, Nepal.

Department of Cardiology, Nepal Mediciti, Lalitpur, Nepal.

出版信息

Aorta (Stamford). 2020 Dec;8(6):169-171. doi: 10.1055/s-0040-1721746. Epub 2021 Mar 24.

DOI:10.1055/s-0040-1721746
PMID:33761563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8043805/
Abstract

We report the case of a 12-year-old girl with balanced double aortic arch with coarctation of the aorta presenting with symptoms of respiratory and swallowing difficulty. On investigation, the patient had a double aortic arch with coarctation and clinically nonsignificant disease in the infrarenal aorta. Division of the nondominant aortic arch was done through a left thoracotomy, along with resection of the coarctation segment and placement of an interposition Dacron tube graft.

摘要

我们报告了一例12岁女孩，患有双主动脉弓合并主动脉缩窄，表现出呼吸和吞咽困难症状。经检查，患者存在双主动脉弓合并缩窄，且肾下腹主动脉有临床意义不显著的病变。通过左胸切口对非优势主动脉弓进行了离断，同时切除缩窄段并置入一段涤纶人工血管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ba/8043805/6fe34d6eaf05/10-1055-s-0040-1721746-i190035-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ba/8043805/1927b5ae1ba6/10-1055-s-0040-1721746-i190035-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ba/8043805/6fe34d6eaf05/10-1055-s-0040-1721746-i190035-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ba/8043805/1927b5ae1ba6/10-1055-s-0040-1721746-i190035-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ba/8043805/6fe34d6eaf05/10-1055-s-0040-1721746-i190035-2.jpg

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本文引用的文献

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Primary surgical repair of coarctation of the aorta in adolescents and adults: intermediate results and consequences of hypertension.升主动脉缩窄在青少年和成年人中的一期外科修复：高血压的中期结果和后果。
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A Rare Case of Vascular Ring and Coarctation of the Aorta in Association with CHARGE Syndrome.1例罕见的血管环合并主动脉缩窄伴CHARGE综合征病例
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The variant associations of aortic isthmic coarctation.
主动脉峡部缩窄的变异关联。
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Management and outcomes of double aortic arch in 81 patients.81例双主动脉弓患者的管理及预后
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