右肺動脈上行大動脈起始症の1治験例

概要

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A successful surgical case of anomalous origin of right pulmonary artery from ascending aorta was reported. The patient was a 7 month-old girl with poor weight gain, who had also patent ductus arteriosus and left pulmonary hypertension. Operation was performed under extracorporeal circulation with a pulsatile assisting device and with mild hypothermia. After the double ligation of the ductus arteriosus, right pulmonary artery was cut off from ascending aorta and was anastomosed with main pulmonary artery retroaortically. Postoperative clinical course was almost uneventful. Postoperative cardiac catherization showed mild increase of pulmonary arterial pressure, but pulmonary arteriogram showed no abnormal findings such as stenosis of the anastomotic site or compression by the aorta. Lung scan also showed that the distribution of pulmonary blood flow recovered in the early postoperative period. The patient is doing well tow years after the surgery.
日本小児外科学会の論文
1989-02-20