Davies M J, Dyamenahalli U, Leanage R R, Firmin R K
Department of Cardiothoracic Surgery, The Glenfield Hospital, Leicester, UK.
Pediatr Cardiol. 1996 Mar-Apr;17(2):122-4. doi: 10.1007/BF02505097.
The congenital anomaly of aortopulmonary window is rare. Its combination with interruption of the aortic arch has been previously recognized and reported in infants and children. Early and complete repair of such a congenital anomaly may prevent progression to cardiac failure and premature death. We describe the successful echocardiographic diagnosis and one-stage surgical repair, via a median sternotomy, of the aortopulmonary window, interrupted aortic arch, patent ductus arteriosus, and patent foramen ovale in a 3-day-old neonate. The literature is also reviewed.
主肺动脉窗先天性异常较为罕见。此前已在婴幼儿中认识到并报道过其与主动脉弓中断的合并情况。早期且彻底修复此类先天性异常可预防进展为心力衰竭和过早死亡。我们描述了一名3日龄新生儿经正中胸骨切开术成功进行超声心动图诊断及一期手术修复主肺动脉窗、主动脉弓中断、动脉导管未闭和卵圆孔未闭的情况。同时也对相关文献进行了综述。