Dietl C A, Torres A R
Institute of Cardiology and Cardiovascular Surgery, Fundación Favaloro, Buenos Aires, Argentina.
Ann Thorac Surg. 1993 Jul;56(1):142-8. doi: 10.1016/0003-4975(93)90419-i.
In cases of interrupted aortic arch type A, the end-to-end aortic anastomosis can be enlarged with a left subclavian flap. In type B interruption, the divided left carotid artery is anastomosed to the distal aorta, and the anastomosis can be augmented with a reversed left subclavian flap. These techniques provide a tension-free, much wider, and noncircumferential anastomosis with potential for growth. Using a combined lateral and anterior approach, the duration of circulatory arrest for the intracardiac repair is minimized.
在A型主动脉弓中断的病例中，可采用左锁骨下动脉瓣扩大端端主动脉吻合口。在B型中断中，将离断的左颈动脉与主动脉远端吻合，可采用翻转的左锁骨下动脉瓣扩大吻合口。这些技术可提供无张力、更宽且非环形的吻合口，具有生长潜力。采用外侧和前方联合入路，可将心内修复时的循环阻断时间减至最短。
