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1岁患有PHACE综合征女童迂曲性主动脉弓远端动脉瘤的修复

Repair of Tortuous Distal Aortic Arch Aneurysm in a 1-Year-Old Girl With PHACE Syndrome.

作者信息

Okamoto Koji, Ochiai Yoshie, Joo Kunihiko, Yamashita Yoshiyuki, Nakata Yusuke, Muneuchi Jun, Tokunaga Shigehiko

机构信息

Department of Cardiovascular Surgery, Japan Community Healthcare Organization (JCHO) Kyushu Hospital, Kitakyushu-city, Japan.

Department of Pediatric Cardiology, Japan Community Healthcare Organization (JCHO) Kyushu Hospital, Kitakyushu-city, Japan.

出版信息

Ann Thorac Surg Short Rep. 2023 Feb 20;1(2):325-327. doi: 10.1016/j.atssr.2023.02.004. eCollection 2023 Jun.

DOI:10.1016/j.atssr.2023.02.004
PMID:39790337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708387/
Abstract

Herein, we describe a 21-month-old girl with PHACE syndrome (posterior fossa hemangiomas, arterial lesions, cardiac anomalies/coarctation of the aorta, and eye anomalies) who presented with a tortuous extensive aortic arch aneurysm. As the maximum short diameter of the distal aortic arch aneurysm expanded rapidly from 21 mm to 25 mm in only 5 months, we performed extensive aortic arch reconstruction with interposition graft replacement through a left thoracotomy under partial cardiopulmonary bypass.

摘要

在此,我们描述了一名患有PHACE综合征(后颅窝血管瘤、动脉病变、心脏异常/主动脉缩窄以及眼部异常)的21个月大女童,她出现了一个迂曲的广泛性主动脉弓动脉瘤。由于仅在5个月内,远端主动脉弓动脉瘤的最大短径就从21毫米迅速扩大到25毫米,我们在部分体外循环下通过左胸切口进行了带血管移植的广泛性主动脉弓重建术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bd/11708387/27fd643f4c61/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bd/11708387/d55331903c78/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bd/11708387/65f0d66392e0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bd/11708387/27fd643f4c61/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bd/11708387/d55331903c78/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bd/11708387/65f0d66392e0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bd/11708387/27fd643f4c61/gr3.jpg

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本文引用的文献

1
Aortic arch anomalies in PHACE syndrome: An individualized approach to an unusual problem.PHACE综合征中的主动脉弓异常:针对一个特殊问题的个体化方法。
J Thorac Cardiovasc Surg. 2016 Sep;152(3):718-9. doi: 10.1016/j.jtcvs.2016.04.039. Epub 2016 Apr 19.
2
Aortic arch repair in children with PHACE syndrome.儿童肺动脉高压合并额面血管瘤综合征的主动脉弓修复。
J Thorac Cardiovasc Surg. 2016 Sep;152(3):709-17. doi: 10.1016/j.jtcvs.2016.03.082. Epub 2016 Apr 14.
3
Congenital cardiac, aortic arch, and vascular bed anomalies in PHACE syndrome (from the International PHACE Syndrome Registry).
PHACE 综合征中的先天性心脏、主动脉弓和血管床异常(来自国际 PHACE 综合征登记处)。
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Selective use of left heart bypass for aortic coarctation.选择性使用左心旁路术治疗主动脉缩窄。
Ann Thorac Surg. 2010 Mar;89(3):851-6; discussion 856-7. doi: 10.1016/j.athoracsur.2009.11.060.
5
Consensus Statement on Diagnostic Criteria for PHACE Syndrome.PHACE综合征诊断标准共识声明。
Pediatrics. 2009 Nov;124(5):1447-56. doi: 10.1542/peds.2009-0082. Epub 2009 Oct 26.
6
Use of partial cardiopulmonary bypass for coarctation repair through a left thoracotomy in children without collaterals.在无侧支循环的儿童中,通过左胸切口采用部分体外循环进行缩窄修复。
Ann Thorac Surg. 2006 Sep;82(3):964-72. doi: 10.1016/j.athoracsur.2006.04.060.
7
Repair of a complex aortic arch anomaly associated with cutaneous hemangioma.与皮肤血管瘤相关的复杂主动脉弓畸形修复术。
Ann Thorac Surg. 2002 Jul;74(1):245-6. doi: 10.1016/s0003-4975(02)03554-3.