動脈管開存症を伴った右肺動脈上行大動脈起始症の根治手術

概要

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A 43-day-old female infant weighing 2,800g was referred to the surgical department because of cyanosis, tachypnea, subcostal recession and poor feeding. Pre-operative echocardiogram and cardiac catheterization showed anomalous origin of the right pulmonary artery from the aorta. Using cardiopulmonary bypass, surgical correction was successfully performed with ligation of the origin of the right pulmonary artery from the ascending aorta and side-to-side anastomosis between the right pulmonary artery and the main pulmonary artery. Ligation was also performed for the patent ductus arteriosus which was discovered during operation. Her sternum was able to be closed on the 4th postoperative day and the tracheal tube was extubated 11 days after operation due to the prolonged post-operative cardiac and respiratory failure. However, the patient's body weight is increasing gradually and she appears to be in good condition four months postoperatively.
日本小児外科学会の論文
1988-06-20