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主动脉瓣闭锁、室间隔缺损和 C 型主动脉弓中断的双心室修复。

Biventricular Repair for Aortic Atresia, Ventricular Septal Defect, and Type C Interrupted Aortic Arch.

机构信息

Department of Anesthesiology, 38006National Taiwan University Hospital, Taipei.

Department of Surgery, 38006National Taiwan University Hospital, Taipei.

出版信息

World J Pediatr Congenit Heart Surg. 2023 Mar;14(2):248-250. doi: 10.1177/21501351221145162. Epub 2023 Feb 23.

Abstract

Interrupted aortic arch is a rare congenital heart defect. Among patients with interrupted aortic arch, an interruption between the innominate artery and left common carotid artery (type C) is the rarest. Herein, we report the case of a neonate with aortic atresia, ventricular septal defect, type C interrupted aortic arch, and aberrant right subclavian artery who underwent Norwood stage I operation and staged biventricular repair. Due to aortic atresia, coronary artery perfusion was retrograde from the right common carotid artery. The surgical technique and special considerations for cardiopulmonary bypass are presented.

摘要

主动脉弓中断是一种罕见的先天性心脏病。在主动脉弓中断的患者中,无名动脉和左颈总动脉之间的中断(C 型)最为罕见。在此,我们报告了一例患有主动脉瓣闭锁、室间隔缺损、C 型主动脉弓中断和右锁骨下动脉异常的新生儿,该患者接受了 Norwood 一期手术和分期双心室修复。由于主动脉瓣闭锁,冠状动脉灌注从右颈总动脉逆行进行。介绍了体外循环的手术技术和特殊注意事项。

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