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[血管环:外科治疗]

[Vascular rings: surgical treatment].

作者信息

Bastos P, de Sousa A R, Casanova J, Moreira J, Alvares S, Mota C R, Gomes M R

机构信息

Centro de Cirurgia Torácica, Hospital de S. João, Porto.

出版信息

Rev Port Cardiol. 1994 Sep;13(9):707-15, 641.

PMID:7818945
Abstract

From 1982 to 1992, nine patients underwent correction of vascular rings. The diagnosis was strongly suggested by symptoms of tracheoesophageal obstruction and was confirmed by barium esophagogram and angiography. Endoscopic studies were considered unnecessary and potentially harmful. Seven patients had double aortic arch, one patient right aortic arch with aberrant left subclavian artery and left ligamentum arteriosum and one patient anomalous origin of the left pulmonary artery. The anomaly was approached through a left thoracotomy in every patient. There were no operative or late deaths. When patients are symptomatic, vascular rings should be promptly repaired. The surgical risk is minimal, and the long term results are excellent.

摘要

1982年至1992年期间,9例患者接受了血管环矫正手术。气管食管梗阻症状强烈提示了该诊断,并经食管钡餐造影和血管造影得以证实。内镜检查被认为没有必要且可能有害。7例患者为双主动脉弓,1例患者为右主动脉弓伴左锁骨下动脉异常及左动脉韧带,1例患者为左肺动脉异常起源。每位患者均通过左胸切开术处理该异常。无手术死亡或晚期死亡病例。当患者出现症状时,应及时修复血管环。手术风险极小,长期效果良好。

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