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症状性儿童同期双主动脉弓和回旋主动脉修复：病例报告。

Concurrent double aortic arch and circumflex aorta repair in a symptomatic child: a case report.

机构信息

Department of Cardiovascular Services, Nemours Children's Hospital, 6535 Nemours Parkway, Orlando, FL, 32827, USA.

Department of Surgery, University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, USA.

出版信息

J Cardiothorac Surg. 2022 Jun 7;17(1):148. doi: 10.1186/s13019-022-01907-6.

DOI:10.1186/s13019-022-01907-6
PMID:35672840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9175390/
Abstract

Double aortic arch with circumflex aorta is a rare type of vascular ring. Symptoms result from external compression of the trachea and esophagus. The best surgical approach for patients with double arch and circumflex aorta is debated, and options include the highly complex aortic uncrossing procedure. Herein we describe the surgical treatment of a patient with concurrent double aortic arch and circumflex aorta by division of the non-dominant arch and ligamentum arteriosum, plication and posterior tacking of the diverticulum of Kommerell. This left thoracotomy approach provided complete symptom resolution.

摘要

双主动脉弓伴左位主动脉弓是一种罕见的血管环类型。其症状是由气管和食管的外部压迫引起的。对于双弓伴左位主动脉弓的患者，最佳的手术方法存在争议，包括高度复杂的主动脉交叉松解术。在此，我们描述了一例通过分裂非优势弓和动脉韧带、折叠和后固定 Kommerell 憩室来治疗双主动脉弓伴左位主动脉弓的患者的手术治疗方法。这种左开胸入路可完全缓解症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d4/9175390/531d8c7371ee/13019_2022_1907_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d4/9175390/3495b5df1514/13019_2022_1907_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d4/9175390/95db10e0334a/13019_2022_1907_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d4/9175390/531d8c7371ee/13019_2022_1907_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d4/9175390/3495b5df1514/13019_2022_1907_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d4/9175390/95db10e0334a/13019_2022_1907_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d4/9175390/531d8c7371ee/13019_2022_1907_Fig3_HTML.jpg

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本文引用的文献

1
Aortic uncrossing and tracheobronchopexy corrects tracheal compression and tracheobronchomalacia associated with circumflex aortic arch.主动脉交叉术和气管支气管固定术可纠正与左冠状动脉弓相关的气管压迫和气管支气管软化。
J Thorac Cardiovasc Surg. 2020 Sep;160(3):796-804. doi: 10.1016/j.jtcvs.2020.03.158. Epub 2020 May 6.
2
Congenital vascular ring.先天性血管环。
Surg Today. 2020 Oct;50(10):1151-1158. doi: 10.1007/s00595-019-01907-5. Epub 2019 Nov 1.
3
Vascular rings.血管环
Semin Pediatr Surg. 2016 Jun;25(3):165-75. doi: 10.1053/j.sempedsurg.2016.02.009. Epub 2016 Feb 22.
4
Kommerell Diverticulum Should Be Removed in Children With Vascular Ring and Aberrant Left Subclavian Artery.患有血管环和迷走左锁骨下动脉的儿童应切除Kommerell憩室。
Ann Thorac Surg. 2015 Dec;100(6):2293-7. doi: 10.1016/j.athoracsur.2015.06.093. Epub 2015 Sep 28.
5
Reoperation after vascular ring repair.血管环修复术后再次手术。
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2014;17(1):48-55. doi: 10.1053/j.pcsu.2014.01.001.
6
Ventral aorta repair for retroesophageal circumflex aortic arch in an adult.
J Card Surg. 2013 Nov;28(6):645-7. doi: 10.1111/jocs.12173. Epub 2013 Jul 9.
7
Anterior arch translocation for coarctation of circumflex aorta using median sternotomy without cardiopulmonary bypass.
J Thorac Cardiovasc Surg. 2011 Jun;141(6):1543-5. doi: 10.1016/j.jtcvs.2010.10.020. Epub 2010 Dec 16.
8
[Aortic uncrossing for compressive circumflex aorta. 3 cases].[用于压迫性回旋主动脉的主动脉解交叉术。3例]
Presse Med. 1984 May 19;13(21):1331-2.