Carletti E, Reginato E, Perri G, Cornali M
Thorac Cardiovasc Surg. 1984 Jun;32(3):187-9. doi: 10.1055/s-2007-1023381.
An unusual case of interruption of the aortic arch with flow to the descending aorta through the left vertebral and left subclavian arteries is described. The ductus arteriosus was functionally closed. The aortic arch was reconstructed with a PTFE graft, but the patient died because of lung problems, related to a high left-to-right shunt through a ventricular septal defect. A new surgical approach is postulated in view of the unusual hemodynamic features. Surgical control of pulmonary congestion could be the initial step, followed by aortic arch reconstruction later when insertion of a non-restrictive aortic prosthesis is possible.
描述了一例不寻常的主动脉弓中断病例，血流通过左椎动脉和左锁骨下动脉流入降主动脉。动脉导管功能上已闭合。用聚四氟乙烯移植物重建了主动脉弓，但患者因与室间隔缺损导致的大量左向右分流相关的肺部问题而死亡。鉴于这种不寻常的血流动力学特征，提出了一种新的手术方法。手术控制肺充血可能是第一步，随后在有可能植入无限制主动脉假体时再进行主动脉弓重建。
