主動脈－肺動脈窗之一病例報告

Aortopulmonary Window: A Case Report

蘇文鉁(Wen-Jen Su) ； 張昭雄(Chau-Hsiung Chang)

《Acta Paediatrica Sinica》 24卷3期 (1983/09) Pp. 179-182

摘要

本文報告一例8個月大患有主動脈肺動脈窗的病兒，並討論此病與主動脈及存開性動脈導管在心導管血流力學及心臓血管攝影檢查的鑑別診斷。病人在心肺分路之下，切開肺動脈，用一塊Dacron修補缺損，手術後病人情況良好。

並列摘要

Aortopulmonary window is a relatively rare congenital heart anomaly. An 8-month-old male infant with this defect is reported. He was admitted because of tachypnea, dyspnea, prolonged feeding and failure to thrive (body weight less than 3rd percentile). There was no cyanosis. A systolic thrill was palpable and a Gr. IV/IV systolic blowing murmur was heard at the left middle sternal border. The second heart sound was loud but without splitting. The edge of the liver was palpated 2 cm below the right costal margin. The femoral pulse was bounding. X-ray films of the chest showed cardiomegaly with increased pulmonary blood flow. The electrocardiograms revealed biventricular hypertrophy and the echocardiograms demonstrated presence of two semilunar valves without overriding of the aorta on interventricular septum. Cardiac catheterization showed passing of the catheter from the descending aorta, via ascending aorta and through aortopulmonary window into the main pulmonary artery and the right ventricle. Angiocardiograms revealed an aortopulmonary window between the ascending aorta and the main pulmonary artery. The defect was repaired by knitting a Dacron patch through the pulmonary artery under cardiopulmonary bypass. The postoperative course was uneventful. The differential diagnosis among aortopulmonary window, truncus arteriosus and patenet ductus arteriosus was discussed and surgical managements were also reviewed.

並列關鍵字

aorto-pulmonary window