Complete Repair of Interrupted Aortic Arch with Ventricular Septal Defect in a Premature Weighing 1600 Grams-A Case Report

1600公克早產兒主動脈弓斷離合併心室中膈缺損之完全矯正－一病例報告

潘俊彥(Jun-Yen Pan) ； 謝凱生(Kai-Sheng Hsieh) ； 康沛倫(Pei-Leun Kang) ； 盧麗芬(Anna Lo) ； 吳東和(Tang-Ho Wu) ； 鄭國琪(Kwok-Kei Cheng)

《Acta Cardiologica Sinica》 21卷1期 (2005/03) Pp. 54-57

摘要

一例32週早產兒出生體重1650公克，診斷為A型主動脈弓斷離，心室及心房中膈缺損，開放性動脈導管。病患於13天大體重1600公克時接受一期主動脈弓重建及心內修補手術，藉由無名動脈及心後下行主動脈持續灌注，深低體溫循環停止可以完全避免。術後病患腎功能正常，且無神經學方面之缺損。

關鍵字

早產兒 ； 主動脈弓斷離 ； 心室中膈缺損

並列摘要

A premature neonate with gestational age of 32 weeks and birth body weight of 1650 grams was diagnosed to have type A interrupted aortic arch, perimembranous type ventricular septal defect, atrial septal defect, and patent ductus arteriosus. One-stage complete reconstruction of aortic arch and concomitant repair of intracardiac defects was performed at age of 13 days with body weight of 1600 grams. Through innominant artery and retrocardiac descending aorta cannulation for continuous cerebral and lower body perfusion, deep hypothermic circulatory arrest was avoided. Postoperative renal function was excellent, and there were no neurological sequelae after 24 months' follow-up.

並列關鍵字

Premature ； Interrupted aortic arch ； Ventricular septal defect