Jones E L, Plauth W H, Hatcher C R
J Thorac Cardiovasc Surg. 1975 Apr;69(4):579-84.
A palliative operation is described for the treatment of infants with all types of aortic arch interruption without regard to anatomic variation. It consists of establishment of continuity between the main pulmonary artery and descending thoracic aorta with a prosthetic graft, pulmonary artery banding distal to the graft, and ligation of the closing ductus arteriosus. Infant mortality rate in the past has been high, rega-dless of the type of operation used. The method of treatment described in this report is one in which an initial palliative operation is employed in the newborn period with total correction planned at a later date, when the risk of morbidity and death will be less.
本文描述了一种姑息性手术，用于治疗各种类型的主动脉弓中断的婴儿，而不考虑解剖变异。该手术包括用人工血管建立主肺动脉与降主动脉之间的连续性，在血管移植物远端进行肺动脉环扎，以及结扎闭合的动脉导管。过去，无论采用何种手术方式，婴儿死亡率都很高。本报告中描述的治疗方法是在新生儿期进行初始姑息性手术，并计划在日后进行完全矫正，届时发病和死亡风险将更低。
