Narcy P, Manac'h Y, Gaudiche O, Brasnu D
Ann Otolaryngol Chir Cervicofac. 1979 Dec;96(12):841-7.
6 cases of cardiorespiratory complications occurring after surgical treatment of oesophageal atresia are reported by virtue of the association of tracheal compression by the brachio-cephalic arterial trunk and of gastro-oesophageal reflux. In all cases, medical (2 cases) or surgical (4 cases) treatment of gastro-oesophageal reflux led to the disappearance of all respiratory symptoms and signs. Emphasis is placed upon the need for a routine and thorough search, radiological and endoscopic, of such associated oesophageal pathology, before proceeding to surgery on the compressive brachio-cephalic arterial trunk.
本文报告了6例食管闭锁手术治疗后发生心肺并发症的病例,这些并发症是由于头臂动脉干压迫气管和胃食管反流共同作用所致。在所有病例中,对胃食管反流进行药物治疗(2例)或手术治疗(4例)后,所有呼吸症状和体征均消失。强调在对头臂动脉干进行压迫性手术之前,需要通过放射学和内镜检查对这种相关的食管病变进行常规而彻底的排查。