Haiyuan Liu, Xiaofan Yang, Shuaipeng Zhang, Yang Li, Wenpeng Dong
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引用次数: 0
摘要
肺动脉吊带(PAS)是一种解剖学上的血管畸形,是由于左肺动脉起源于右肺动脉,在食管和气管之间向后延伸,导致邻近结构受压。准确评估肺动脉畸形和气道阻塞的严重程度对手术策略至关重要。本报告介绍了一名 12 岁男孩肺动脉吊带的诊断和手术治疗。病例报告:一名 12 岁男孩在运动后出现胸闷和喘息症状已有 6 年之久。根据影像学检查结果,他被诊断为 PSA,检查显示左肺动脉起源于右肺动脉中部,气管颈位于胸椎 T6 位置。由于左肺动脉的异位起源,主支气管和食道受到了左肺动脉的压迫。经过全面的术前评估后,患者接受了 PAS 手术修复。结论:本报告强调了肺动脉吊带诊断、成像和手术规划的重要性,以及多学科团队在术前和术后患者管理中的作用。基于术前评估的个体化策略、术中心脏病专家、外科医生和灌注专家之间的协调以及术后的精心管理是成功修复 PAS 的核心要素。
Surgical Management of Pulmonary Artery Sling in a Pediatric Patient
Pulmonary artery sling (PAS) is an anatomical vascular anomaly due to the origin of the left pulmonary artery from the right pulmonary artery, which runs posteriorly between the esophagus and trachea, resulting in compression of adjacent structures. Accurate evaluation for malformation of the pulmonary artery and severity of airway obstruction is essential to surgical strategy. This report presents the diagnosis and surgical management of pulmonary artery sling in a 12-year-old boy. Case Report: A 12-year-old boy had chest tightness and wheezing after exercise for 6 years. He was diagnosed with PSA based on findings from imaging tests, demonstrating the left pulmonary artery originated from the middle of the right pulmonary artery and the tracheal carina was located at the site of the T6 thoracic vertebra. The main bronchus and esophagus were compressed by the left pulmonary artery due to its ectopic origin. Then, after comprehensive preoperative assessment, the patient underwent surgical repair of PAS. Conclusions: This report highlights the importance of pulmonary artery sling diagnosis, imaging, and surgical planning, and the role of a multidisciplinary team in preoperative and postoperative patient management. An individualized strategy based on the preoperative assessment, intraoperative coordination among cardiologists, surgeons, and perfusionists, and careful postoperative management are the core elements for successful PAS repair.
期刊介绍:
American Journal of Case Reports is an international, peer-reviewed scientific journal that publishes single and series case reports in all medical fields. American Journal of Case Reports is issued on a continuous basis as a primary electronic journal. Print copies of a single article or a set of articles can be ordered on demand.