大动脉不交叉为环流动性大动脉
Ameya Kaskar1, Vaibhav Dhabe2, Supratim Sen3
1Department of Pediatric Cardiac Surgery, NH SRCC Children's Hospital, Mumbai, Maharashtra, India.
World journal for pediatric & congenital heart surgery
|September 28, 2023
概括
右侧环动脉,一种罕见的血管环异常,可以导致气管和食道的压缩. 手术性大动脉不交叉有效地治疗了两名患者,解决了症状,并通过适当的诊断和规划确保了成功的结果.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 医疗成像医学成像
背景情况:
- 环动脉是一种罕见的先天性异常,其中大动脉门是逆食道的.
- 这种异常可以与带动脉形成血管环,可能压缩相邻结构.
- 右侧环动脉呈现独特的解剖学变异.
研究的目的:
- 描述两例右侧环动脉的情况.
- 要突出计算机断层扫描 (CT) 在识别这种血管环异常方面的诊断实用性.
- 报告使用大动脉不交叉手术的成功手术管理.
主要方法:
- 关于两名患有右侧环流动动脉的患者的病例报告.
- 诊断证实使用计算机断层扫描 (CT) 扫描.
- 外科干预涉及大动脉不交叉手术.
主要成果:
- 计算机断层扫描在两种情况下都准确地诊断出血管环异常.
- 两位患者都经历了成功的大动脉不交叉手术.
- 手术后的随访没有显示出气管或食道压缩的残留症状.
结论:
- 右侧环动脉是一种可治疗的血管环异常.
- 术前诊断和细致的手术规划对于成功的结果至关重要.
- 大动脉不交叉手术是治疗这种疾病的有效初级手术策略.
相关概念视频
The Aorta
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The Arch of Aorta
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
Thoracic Aorta
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
Abdominal Aorta
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...


