Rivilla Parra F, Sanz Galeote E, Cordovilla Zorita G, Alvarez Díaz F
Servicio de Cirugía Cardiovascular Infantil, Hospital Infantil La Paz, Facultad de Medicina, Universidad Autónoma de Madrid.
An Esp Pediatr. 1987 Oct;27(4):292-6.
30 patients with vascular rings operated between 1966 and 1985 are described. Age, sex and symptomatology are studied. Nineteen had a double aortic arch, 9 cases had anomalous subclavian artery, 6 patients had right aortic arch with ductus or ligamentum arteriosum, 1 patient had pulmonary artery sling and 1 patient had right aortic arch and ductus arteriosus and anomalous subclavian artery. Associated congenital malformations were seen in 8 (27%) patients. Basic surgical procedures include a left thoracotomy, identification of the aortic arch anatomy and division of anomalous ring. The aortic arch malformations have a good prognosis with early diagnosis ans surgical treatment.
本文描述了1966年至1985年间接受血管环手术的30例患者。对患者的年龄、性别和症状进行了研究。其中19例为双主动脉弓，9例为异常锁骨下动脉，6例为右主动脉弓伴动脉导管或动脉韧带，1例为肺动脉吊带，1例为右主动脉弓、动脉导管及异常锁骨下动脉。8例（27%）患者伴有先天性畸形。基本手术步骤包括左胸切开术、确定主动脉弓解剖结构及切断异常血管环。主动脉弓畸形若能早期诊断并接受手术治疗，预后良好。
