McFaul R C, Keane J F, Nowicki E R, Castaneda A R
J Thorac Cardiovasc Surg. 1981 Mar;81(3):334-7.
The case histories of two infants with aortic thrombosis are presented. Clinically, an obstructive aortic arch lesion was suspected because of a systolic pressure gradient between the upper and lower extremities in one infant and unequal peripheral pulses with lower limb cyanosis in the other. Noninvasive studies were inconclusive, the only abnormality noted echocardiographically being severe left ventricular dysfunction. Cardiac catheterization including angiography defined the severity of the obstruction and location of the thrombus in both babies. The thrombus originated within a ductus arteriosus aneurysm in one infant and was located in the ascending aorta and transverse arch in the other. Although successful surgical removal was accomplished, both babies died unexpectedly in the early postoperative period.
本文介绍了两名患有主动脉血栓形成的婴儿的病历。临床上，一名婴儿因上下肢之间存在收缩压梯度，另一名婴儿因外周脉搏不等且下肢发绀，怀疑存在主动脉弓梗阻性病变。非侵入性检查结果不明确，超声心动图检查唯一发现的异常是严重的左心室功能障碍。包括血管造影在内的心脏导管检查确定了两名婴儿梗阻的严重程度和血栓的位置。一名婴儿的血栓起源于动脉导管瘤内，另一名婴儿的血栓位于升主动脉和横弓。尽管成功进行了手术切除，但两名婴儿均在术后早期意外死亡。
