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肺动脉缺如。关于其胚胎发生的一个提示。

Absent pulmonary artery. A hint to its embryogenesis.

作者信息

Pfefferkorn J R, Löser H, Pech G, Toussaint R, Hilgenberg F

出版信息

Pediatr Cardiol. 1982;3(4):283-6. doi: 10.1007/BF02427028.

DOI:10.1007/BF02427028
PMID:6761655
Abstract

Cardiac catheterization was performed in nine patients with unilateral absence of a pulmonary artery. Aortography revealed a diverticulum of the innominate artery in five of six patients in whom the aortic arch and absent pulmonary artery were on opposite sides. It is suggested that the diverticulum indicates fetal systemic blood supply to the affected lung through the distal part of the sixth aortic arch, which--consisting of ductal tissue--obliterated after birth, leaving the diverticulum where the ductus joins the innominate artery.

摘要

对9例单侧肺动脉缺如的患者进行了心导管检查。血管造影显示,在主动脉弓与缺如肺动脉位于相反侧的6例患者中,有5例无名动脉存在憩室。提示该憩室表明胎儿期通过第六主动脉弓远端向患侧肺提供体循环血液供应,第六主动脉弓远端由导管组织构成,出生后闭塞,在导管与无名动脉连接处留下憩室。

相似文献

1
Absent pulmonary artery. A hint to its embryogenesis.肺动脉缺如。关于其胚胎发生的一个提示。
Pediatr Cardiol. 1982;3(4):283-6. doi: 10.1007/BF02427028.
2
Isolated left brachiocephalic trunk arising from the main pulmonary artery with right aortic arch.孤立的左头臂干起源于主肺动脉并伴有右主动脉弓。
J Thorac Cardiovasc Surg. 2014 Feb;147(2):822-3. doi: 10.1016/j.jtcvs.2013.07.015. Epub 2013 Aug 24.
3
Right aortic arch with isolation of the left innominate artery arising from the pulmonary artery and atrial septal defect.右位主动脉弓,左无名动脉起源于肺动脉并伴有房间隔缺损。
Ann Thorac Surg. 2011 Jan;91(1):303. doi: 10.1016/j.athoracsur.2010.06.015.
4
Tetralogy of Fallot with right aortic arch and isolation of the left innominate artery from a left-sided patent ductus arteriosus.法洛四联症合并右位主动脉弓及左侧动脉导管未闭致左无名动脉离断
Pediatr Cardiol. 2001 Jan-Feb;22(1):58-9. doi: 10.1007/s002460010154.
5
[Diverticulum of the brachiocephalic trunk--angiographic image and embryologic significance].[头臂干憩室——血管造影图像及胚胎学意义]
Z Kardiol. 1983 Mar;72(3):183-6.
6
[Unilateral proximal aplasia of the pulmonary artery--studies on the clinical significance and embryologic interpretation].
Klin Padiatr. 1984 Sep-Oct;196(5):311-4. doi: 10.1055/s-2008-1034086.
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Unilateral ventilation--perfusion mismatch on pulmonary scintigraphy caused by anomalous origin of a pulmonary artery from the innominate artery.
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Type I persistent left fifth aortic arch with truncus arteriosus type A3: an unreported association.伴有A3型共同动脉干的I型持续性左第五主动脉弓:一种未报道的关联。
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Isolation of the left innominate artery, a right arch, and a left patent ductus arteriosus.分离左无名动脉、右位主动脉弓和左动脉导管未闭。
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Patterns of right aortic arch and mirror-image branching of the brachiocephalic vessels without associated anomalies.右主动脉弓及头臂血管镜像分支且无相关异常的模式。
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引用本文的文献

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Severe Haemoptysis due to Pulmonary Artery Agenesis, About Two Rare but Threatening Case Reports.肺动脉发育不全所致严重咯血:两例罕见但危及生命的病例报告
Respirol Case Rep. 2025 Apr 25;13(4):e70196. doi: 10.1002/rcr2.70196. eCollection 2025 Apr.
2
Resection of infected bulla associated with isolated unilateral absence of pulmonary artery: a case report.与孤立性单侧肺动脉缺如相关的感染性肺大疱切除术:一例报告
Gen Thorac Cardiovasc Surg Cases. 2023 Nov 20;2(1):99. doi: 10.1186/s44215-023-00122-6.
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A rare association of the absence of left pulmonary artery with ventricular septal defect, pulmonary hypertension, and more interestingly, patent ductus arteriosus in an adult patient: Case report and literature review.

本文引用的文献

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ABSENCE OF A PRIMARY DIVISION OF THE PULMONARY TRUNK. AN ONTOGENETIC THEORY.肺动脉干无初级分支。一种个体发生学理论。
Circulation. 1964 Jan;29:124-31. doi: 10.1161/01.cir.29.1.124.
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Congenital unilateral absence of a pulmonary artery. The importance of flow in pulmonary hypertension.先天性单侧肺动脉缺如。血流在肺动脉高压中的重要性。
Am J Cardiol. 1962 Nov;10:706-32. doi: 10.1016/0002-9149(62)90248-5.
一名成年患者罕见地出现左肺动脉缺如,并伴有室间隔缺损、肺动脉高压,更有趣的是还伴有动脉导管未闭:病例报告及文献综述
Clin Case Rep. 2024 Jul 9;12(7):e9138. doi: 10.1002/ccr3.9138. eCollection 2024 Jul.
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Unilateral intestinal lung disease misdiagnosed as rheumatoid lung disease. A case report of absent pulmonary artery.单侧肠道肺疾病误诊为类风湿性肺病。肺动脉缺如1例报告。
Respir Med Case Rep. 2024 Feb 13;48:101994. doi: 10.1016/j.rmcr.2024.101994. eCollection 2024.
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Rare Vascular Anomalies in an Adult: Absent Left Pulmonary Artery With a Right-Sided Aortic Arch.成人罕见血管异常:左肺动脉缺如合并右侧主动脉弓
Cureus. 2023 Aug 6;15(8):e43020. doi: 10.7759/cureus.43020. eCollection 2023 Aug.
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Surgical repair of unilateral absence of pulmonary artery in children with pulmonary hypertension: a single-center retrospective study.肺动脉高压患儿单侧肺动脉缺如的外科修复:一项单中心回顾性研究。
Transl Pediatr. 2022 Nov;11(11):1813-1822. doi: 10.21037/tp-22-491.
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Isolated Unilateral Agenesis of Pulmonary Artery and Reappraisal of Embryological Evolution.孤立性单侧肺动脉缺如及胚胎发育演变的重新评估
Anatol J Cardiol. 2022 Mar;26(3):226-228. doi: 10.5152/AnatolJCardiol.2021.465.
8
Early single-stage surgical revascularization of pulmonary artery in unilateral absence of a pulmonary artery.单侧肺动脉缺如时肺动脉的早期单阶段手术血运重建。
J Cardiothorac Surg. 2021 Apr 13;16(1):80. doi: 10.1186/s13019-021-01481-3.
9
An adult case with absence of left pulmonary artery and partial anomalous pulmonary venous connection: Case report and literature review.一例成人左肺动脉缺如合并部分性肺静脉异位连接病例报告及文献复习
Clin Case Rep. 2021 Jan 25;9(3):1624-1628. doi: 10.1002/ccr3.3858. eCollection 2021 Mar.
10
Unilateral absence of pulmonary artery and azygous continuation of interrupted inferior vena cava.单侧肺动脉缺如及下腔静脉中断并奇静脉延续。
Radiol Case Rep. 2020 Apr 28;15(6):688-690. doi: 10.1016/j.radcr.2020.02.021. eCollection 2020 Jun.
4
Origin of right pulmonary artery from ascending aorta.右肺动脉起源于升主动脉。
Circulation. 1961 Jan;23:84-90. doi: 10.1161/01.cir.23.1.84.
5
Isolated congenital absence of the right pulmonary artery: a caution as to its diagnosis and a proposal for its embryogenesis; report of a case with review.孤立性先天性右肺动脉缺如:关于其诊断的注意事项及胚胎发生的提议;附病例报告及文献复习
Am Heart J. 1958 May;55(5):772-80. doi: 10.1016/0002-8703(58)90018-8.
6
Absence of the left pulmonary artery; a report of six cases with autopsy findings in three.
Am Heart J. 1954 Jun;47(5):845-59. doi: 10.1016/0002-8703(54)90156-8.
7
Origin of the right pulmonary artery from the aorta. A clinical-pathologic study of two types based on caliber of the pulmonary artery.右肺动脉起自主动脉。基于肺动脉管径的两种类型的临床病理研究。
Am J Cardiol. 1967 May;19(5):741-8. doi: 10.1016/0002-9149(67)90481-x.
8
Origin of the right pulmonary artery from the aorta.右肺动脉起自主动脉。
Am Heart J. 1966 Jul;72(1):106-15. doi: 10.1016/0002-8703(66)90633-8.