Hanley F L, Drucker B J, Turley K, Silverman N H
Department of Surgery, University of California, San Francisco.
J Pediatr Surg. 1993 May;28(5):731-4. doi: 10.1016/0022-3468(93)90044-l.
The case of a 720-g infant born at 29 weeks of gestation who underwent successful surgical correction of a hypoplastic aortic arch and aortic coarctation is presented. The infant was initially brought to surgery with an echocardiographic diagnosis of patent ductus arteriosus with left to right shunt unresponsive to indomethacin therapy. The correct diagnosis of hypoplastic aortic arch and severe coarctation with ductal dependent blood flow to the lower body was made intraoperatively. This case illustrates the danger of limited diagnostic testing in premature infants assumed to have isolated patent ductus arteriosus, and also that these small infants can undergo successful surgical repair of complex aortic arch lesions.
本文介绍了一例孕29周出生的720克婴儿，该婴儿成功接受了主动脉弓发育不全和主动脉缩窄的外科矫正手术。婴儿最初因超声心动图诊断为动脉导管未闭且左向右分流，对吲哚美辛治疗无反应而接受手术。术中确诊为主动脉弓发育不全和严重缩窄，下半身血流依赖动脉导管。该病例说明了对被认为单纯患有动脉导管未闭的早产儿进行有限诊断检测的危险性，同时也表明这些小婴儿可以成功接受复杂主动脉弓病变的外科修复手术。
