左锁骨下动脉离断合并右位主动脉弓及大动脉D型转位
Left Subclavian Artery Isolation with Right Aortic Arch and D-Transposition of the Great Arteries.
作者信息
Hansen Katherine, Dhillon Gurpreet, Ma Michael, Maskatia Shiraz A, Su Lillian, Vasanawala Shreyas, Punn Rajesh
机构信息
Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California.
出版信息
CASE (Phila). 2021 Nov 10;5(6):392-398. doi: 10.1016/j.case.2021.09.010. eCollection 2021 Dec.
• In subclavian artery isolation, a subclavian artery arises from a pulmonary artery. • Subclavian artery isolation with d-TGA has unique findings on physical examination. • Subclavian artery isolation with d-TGA is often a missed diagnosis on echocardiogram. • Diagnosis is made more often using CCT, CMR, or invasive angiography. • Preoperative diagnosis enables surgical correction during arterial switch operation.
• 在锁骨下动脉离断中，锁骨下动脉起自肺动脉。
• d-大动脉转位合并锁骨下动脉离断在体格检查时有独特表现。
• d-大动脉转位合并锁骨下动脉离断在超声心动图检查时常常漏诊。
• 更多时候通过心脏CT、心脏磁共振成像或有创血管造影进行诊断。
• 术前诊断有助于在动脉调转手术时进行手术矫正。
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