异常的右下关节动脉干预可以缓解失症
Cathlyn K Medina1, John A Kucera1, Berk Aykut1
1Congenital Heart Surgery Research and Training Laboratory, Duke University, Durham, NC, USA.
异常右下关节动脉 (ARSA) 很少会在儿童中引起严重的消化不良. 通过关节下部再植入进行手术纠正,在一小群患者中有效解决了吞困难,改善了体重增加.
科学领域:
- 心血管外科心血管外科
- 儿科手术 儿科手术
- 血管异常 血管异常
背景情况:
- 异常右关节下动脉 (ARSA) 是最常见的一种主动脉弧血管异常.
- 传统上,ARSA不被认为是导致食欲障碍的原因.
- 这项研究通过介绍ARSA导致严重吞问题的病例来挑战传统智慧.
研究的目的:
- 为了调查ARSA和儿科患者的消化障碍之间的潜在联系.
- 介绍一系列ARSA是导致衰弱性消化障碍的病例.
- 为了评估ARSA诱导的食障碍手术干预的疗效.
主要方法:
- 研究了一组由四名患有因ARSA而导致的消化不良的儿童组成的队列.
- 手术干预涉及关节下部再植入.
- 使用的手术方法是右后侧胸切除术.
主要成果:
- 四位患者都经历了手术后完全消除的消化障碍.
- 患者能够过渡到正常饮食并获得适当的体重增加.
- 临床随访表明持续的积极结果.
结论:
- 应该认为ARSA是一种罕见但可能导致儿童食障碍的原因.
- 手术管理,特别是关节下部再植入,可以导致显著的症状解决.
- 这一案例系列强调了在对儿科失足症的差异诊断中考虑ARSA的重要性.
更多相关视频
03:55Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
Published on: June 9, 2023
13:10Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
Published on: April 24, 2017
相关概念视频
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Cardiopulmonary Resuscitation II: ACLS Airway Management
Coronary Artery Disease V: Surgical Management
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Aneurysm III: Interprofessional Care
Trachea
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
