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一例罕见的双主动脉弓病例:右胸切开术及残留的食管后主动脉弓。

A rare case of double aortic arch: right thoracotomy and residual retroesophageal aortic arch.

作者信息

Kadoba K, Kawashima Y, Matsuda H, Sakakibara T, Hirose H, Sano T, Ogawa M

出版信息

Pediatr Cardiol. 1987;8(2):143-6. doi: 10.1007/BF02079473.

DOI:10.1007/BF02079473
PMID:3628071
Abstract

The case of a 2-year-old boy with tetralogy of Fallot and a complete double aortic arch (both arches patent) is reported. The left dominant aortic arch ran retroesophageally to the right and joined with the right smaller arch to form the descending thoracic aorta on the right side. We employed a right thoracotomy and performed a division of the right nondominant arch at the connection with the descending aorta. The surgical implications of an unusual type of double aortic arch are discussed.

摘要

报道了一名患有法洛四联症和完全性双主动脉弓(双侧弓均通畅)的2岁男孩病例。左优势主动脉弓经食管后方走向右侧,与较小的右弓相连,在右侧形成降主动脉。我们采用右胸切开术,在右非优势弓与降主动脉连接处将其切断。讨论了这种不寻常类型双主动脉弓的手术意义。

相似文献

1
A rare case of double aortic arch: right thoracotomy and residual retroesophageal aortic arch.一例罕见的双主动脉弓病例:右胸切开术及残留的食管后主动脉弓。
Pediatr Cardiol. 1987;8(2):143-6. doi: 10.1007/BF02079473.
2
[Surgical correction of double aortic arch in infants].[婴儿双主动脉弓的手术矫正]
Grud Serdechnososudistaia Khir. 1992 Mar-Apr(3-4):11-4.
3
Persistent left fifth aortic arch associated with tetralogy of Fallot.持续性左第五主动脉弓合并法洛四联症。
Pediatr Cardiol. 1997 May-Jun;18(3):229-31. doi: 10.1007/s002469900159.
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[Left aortic arch without a circumflex segment and a right descending aorta: a hypothetical case and a real example].[左主动脉弓无回旋段及右位降主动脉:一个假设病例及一个实际例子]
Arch Inst Cardiol Mex. 1989 Mar-Apr;59(2):125-31.
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Two cases of a rare association: double aortic arch with tetralogy of Fallot.两例罕见关联病例:双主动脉弓合并法洛四联症。
J Cardiothorac Surg. 2013 Mar 7;8:39. doi: 10.1186/1749-8090-8-39.
6
Retroesophageal right aortic arch.食管后右位主动脉弓
Pediatr Cardiol. 1984 Jul-Sep;5(3):191-5. doi: 10.1007/BF02427044.
7
[Double aortic arch associated with severe left ventricular dysfunction--a case report].[双主动脉弓合并严重左心室功能障碍——病例报告]
Zhonghua Yi Xue Za Zhi (Taipei). 1991 Nov;48(5):408-12.
8
Tetralogy of Fallot with coarctation of the aorta: a newly recognised developmental and anatomic syndrome.法洛四联症合并主动脉缩窄:一种新认识的发育和解剖综合征。
Cardiol Young. 2014 Aug;24(4):714-20. doi: 10.1017/S1047951114000407. Epub 2014 Mar 26.
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Ductal stent implantation in tetralogy of fallot with aortic arch abnormality.法洛四联症合并主动脉弓异常时的导管支架植入术。
Tex Heart Inst J. 2015 Jun 1;42(3):281-4. doi: 10.14503/THIJ-13-3373. eCollection 2015 Jun.
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[Surgical treatment of patients with tetralogy of Fallot in combination with a double aortic arch].
Grud Serdechnososudistaia Khir. 1990(7):15-9.

本文引用的文献

1
Double aortic arch; with a report of a case.双主动脉弓;附病例报告
J Fac Radiol. 1955 Apr;6(4):281-6. doi: 10.1016/s0368-2242(55)80041-3.
2
Surgical relief for tracheal obstruction from a vascular ring.血管环所致气管梗阻的手术解除
N Engl J Med. 1945 Nov 15;233:586-90. doi: 10.1056/nejm194511152332003.
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Aortic vascular rings encountered in the surgical treatment of congenital pulmonic stenosis.先天性肺动脉狭窄手术治疗中遇到的主动脉血管环。
Ann Surg. 1950 Mar;131(3):356-62. doi: 10.1097/00000658-195003000-00006.
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Double aortic arch; report of two cases and review of the literature.双主动脉弓;两例报告并文献复习
Pediatrics. 1949 Dec;4(6):751-68, illust.
5
Seminar on aortic vascular rings and other anomalies of the aortic arch.主动脉血管环及其他主动脉弓异常研讨会
Pediatrics. 1957 Nov;20(5, Part 1):896-906.
6
Left aortic arch and right descending aorta: diagnostic and therapeutic implications of a rare type of vascular ring.左主动脉弓与右降主动脉:一种罕见血管环类型的诊断与治疗意义
Ann Thorac Surg. 1981 Jan;31(1):82-5. doi: 10.1016/s0003-4975(10)61323-9.
7
Vascular rings necessitating right thoracotomy.需要右胸切开术的血管环。
J Thorac Cardiovasc Surg. 1981 Aug;82(2):306-9.
8
Corrective surgery for tetralogy of Fallot without or with minimal right ventriculotomy and with repair of the pulmonary valve.法洛四联症的矫正手术,不进行或仅进行最小限度的右心室切开术,并修复肺动脉瓣。
Circulation. 1981 Aug;64(2 Pt 2):II147-53.
9
Surgical management of vascular ring.血管环的外科治疗
Ann Surg. 1983 Feb;197(2):139-46. doi: 10.1097/00000658-198302000-00004.
10
Retroesophageal right aortic arch.食管后右位主动脉弓
Pediatr Cardiol. 1984 Jul-Sep;5(3):191-5. doi: 10.1007/BF02427044.