Tiraboschi R, Crupi G, Villani M, Di Benedetto G, De Tommasi M, Squarcia U, Invernizzi G, Parenzan L
G Ital Cardiol. 1981;11(1):68-78.
The Authors report their experience in the surgical treatment of 19 patients under two years of age (75% under six months), with severe symptoms for the presence of a complete or incomplete vascular ring. Twelve patients had double aortic arch, two had a right aortic arch with a left ligamentum arteriosum, four a symptomatic retroesophageal right subclavian artery and one an abnormally placed innominate artery. Symptoms, methods of diagnosis, indications to the surgical treatment, surgical techniques and late results are considered. The Authors remark that even if correction of these rare congenital malformations may be simple and with a low operative mortality, many problems exist in the early diagnosis and in the post-operative treatment of these patients.
作者报告了他们对19例两岁以下(75%为六个月以下)患有完全性或不完全性血管环且症状严重的患儿进行手术治疗的经验。12例患儿为双主动脉弓,2例为右主动脉弓伴左动脉韧带,4例为有症状的食管后右锁骨下动脉,1例为无名动脉位置异常。文中考虑了症状、诊断方法、手术治疗指征、手术技术及远期结果。作者指出,尽管矫正这些罕见的先天性畸形可能操作简单且手术死亡率低,但在这些患儿的早期诊断和术后治疗中仍存在许多问题。