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A case with patent ductus arteriosus and coarctation of aorta where aberrant right subclavian artery originates from the coarcted segment: Our successful surgical approach

机译:一例动脉导管未闭且主动脉缩窄,右锁骨下动脉异常来自缩窄段的病例:我们成功的手术方法

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About 1% of live born children have congenital heart defects.In this study we present a case with patent ductus arteriosus and coarctation of aorta where aberrant right subclavian artery originates from the coarcted segment and our successful surgical approach. Introduction The first successful surgical repair of CoAo was performed in 1944 (1). The field of pediatric cardiac interventions has witnessed a dramatic increase (2). Case Presentation Our case was a 2-year-old girl who was referred to our Pediatric Cardiology Unit after revealing a cardiac murmur during a physical examination following a fall from a chair 6 months ago. Her transthoracic echocardiography (TTE) showed patent ductus arteriosus (PDA), bicuspid aorta, coarctation of aorta (CoAo) and aortic arch anomalies. She was then prepared for cardiac catheterization. This procedure confirmed the diagnosis put via TTE. An additional finding was an aberrant right subclavian artery originating from the coarcted segment (RSCa)(Figure 1).
机译:大约有1%的活产儿患有先天性心脏缺陷。在本研究中,我们介绍了一个动脉导管未闭和主动脉缩窄的病例,其中右锁骨下动脉异常来自缩窄段,并且我们成功地采用了手术方法。简介CoAo的首次成功外科手术修复于1944年进行(1)。小儿心脏干预领域已见证了戏剧性的增长(2)。病例介绍我们的病例是一名2岁女孩,她在6个月前从椅子上摔下后进行身体检查时发现心脏杂音,然后被转送到我们的儿科心脏病科。她的经胸超声心动图(TTE)显示动脉导管未闭(PDA),双尖瓣主动脉,主动脉缩窄(CoAo)和主动脉弓畸形。然后,她准备进行心脏导管插入术。该程序证实了通过TTE进行的诊断。另一个发现是源自缩窄节(RSCa)的右锁骨下动脉异常(图1)。

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