Hata H, Shiono M, Sezai Y, Sumitomo N, Otsuka M, Harada K
Second Department of Surgery, Nihon University, Tokyo, Japan.
Ann Thorac Surg. 1998 Mar;65(3):829-31. doi: 10.1016/s0003-4975(97)01365-9.
Interrupted aortic arch type A with aortopulmonary window was diagnosed in a 12-day-old neonate. A successful one-stage repair was undertaken through a midline sternotomy without circulatory arrest. The aortopulmonary window was closed through the anterior wall of communication between ascending aorta and main pulmonary artery with a patch. Position of the arterial cannula was changed during the repair, which made it possible to mobilize and expose the aortic arch for the completion of direct anastomosis.
一名12日龄新生儿被诊断为A型主动脉弓中断合并主-肺动脉窗。通过正中胸骨切开术在无体外循环停搏的情况下成功进行了一期修复。经升主动脉与主肺动脉之间的交通前壁用补片封闭主-肺动脉窗。修复过程中改变了动脉插管的位置,从而能够游离并暴露主动脉弓以完成直接吻合。