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左肺动脉缺如伴左冠状动脉异常起源于肺动脉:新生儿交叉吻合术。

Hypoplastic Circumflex Aorta With Anomalous Left Pulmonary Artery: Uncrossing Operation in a Neonate.

机构信息

Division of Pediatric Cardiology, Cohen Children's Heart Center, Cohen Children's Medical Center, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA.

Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.

出版信息

World J Pediatr Congenit Heart Surg. 2024 Jul;15(4):527-530. doi: 10.1177/21501351241237955. Epub 2024 Apr 24.

Abstract

Circumflex aortic arch with coarctation and anomalous origin of the left pulmonary artery from the aorta are rare cardiovascular anomalies. These conditions can lead to early pulmonary hypertension and challenging management. Early diagnosis and surgical intervention are beneficial for optimal outcome. We present a case where both anomalies coexisted and were repaired with aortic uncrossing, arch augmentation, and reimplantation of the left pulmonary artery. To our knowledge, this is the first documented instance of these anomalies coexisting and being repaired in the neonatal period.

摘要

冠状窦型主动脉弓伴缩窄和左肺动脉异常起源于主动脉是罕见的心血管畸形。这些情况可能导致早期肺动脉高压和治疗困难。早期诊断和手术干预有助于获得最佳结果。我们报告了一例同时存在这两种异常的病例,并通过主动脉非交叉、弓部扩张和左肺动脉再植入进行修复。据我们所知,这是首例在新生儿期同时存在并修复这些异常的病例。

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