Chiu I S, Wang J K, Wang M J, Wang C C
Department of Surgery, National Taiwan University Hospital, Taipei.
Ann Thorac Surg. 1994 Nov;58(5):1529-32. doi: 10.1016/0003-4975(94)91951-8.
Surgical repair of an aortopulmonary septal defect, interrupted aortic arch and the duct that coexists in this setting usually includes closure of the aortopulmonary septal defect, reconstruction of the arch, and interruption of the duct. A 20-month-old girl underwent a successful one-stage repair of such anomalies in which an intraarterial baffle was used. A Gore-Tex baffle was used both to close the aortopulmonary septal defect and to conduct the ascending aortic blood flow through the duct into the descending aorta. We recommend use of this intraarterial baffle as an alternative to the repair of an aortopulmonary septal defect and an interrupted aortic arch with a widely patent duct.
在这种情况下同时存在的主肺动脉间隔缺损、主动脉弓中断和动脉导管的外科修复通常包括关闭主肺动脉间隔缺损、重建主动脉弓以及结扎动脉导管。一名20个月大的女孩接受了此类畸形的一期成功修复，术中使用了动脉内挡板。采用戈尔特斯（Gore-Tex）挡板来关闭主肺动脉间隔缺损，并引导升主动脉血流通过动脉导管进入降主动脉。我们建议使用这种动脉内挡板作为主肺动脉间隔缺损合并主动脉弓中断且动脉导管广泛开放时的一种修复替代方法。
