Fu M, Hung J S, Liao P K, Chang C H
Chest. 1987 Apr;91(4):623-5. doi: 10.1378/chest.91.4.623.
An isolated right-sided patent ductus arteriosus has not been reported previously to occur in right-sided aortic arch associated with an aberrant left subclavian artery. We report such anomalies in two adult patients. In the first case of a 19-year-old woman, the ductus was successfully ligated via a left posterolateral thoracotomy; however, many technical difficulties were encountered. In the second case of a 36-year old woman, a right posterolateral thoracotomy enabled detailed demonstration of the ductus and its surrounding structures and facilitated its successful ligation. An isolated right-sided patent ductus arteriosus should be approached via right thoracotomy.
既往尚无孤立性右侧动脉导管未闭合并右侧主动脉弓及迷走左锁骨下动脉的报道。我们报告了2例成年患者的此类异常情况。第一例为一名19岁女性，通过左后外侧开胸术成功结扎了动脉导管；然而，遇到了许多技术难题。第二例为一名36岁女性，右后外侧开胸术能够详细显示动脉导管及其周围结构，并有助于成功结扎。孤立性右侧动脉导管未闭应通过右胸开胸术进行处理。
