大動脈弓離断を伴った総動脈幹症に対する手術経験

概要

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A 2-month-old boy was admitted to the hospital because of tachypnea and heart murmur. Cardiac catheterization and cineangiocardiography revealed truncus arteriosus (Collett & Edwards'type I) associated with interruption of the aortic arch distal to the left common carotid artery (Type B), namely Van Praagh's type A4. Surgery was performed at 60 days of age with the weight of 2,340g through a left poste-lolateral thoracotomy in the 3rd intercostal space. Combined bilateral main pulmonary arterial banding, division of PDA and an end to end anastomosis between the left common carotid artery and the descending aorta were carried out. The postoperative hemodynamics was stable but the patient died 4 hours after operation because of respiratory accident. This anomaly is seldom to see and this paper is the first case report of surgical repair to the truncus arteriosus type A4 in Japan.
日本小児外科学会の論文
1980-08-20