Surgical treatment of aberrant left subclavical artery associated with Kommerell diverticulum in children
10.3760/cma.j.issn.1001-4497.2019.07.006
- VernacularTitle:婴幼儿迷走左锁骨下动脉合并Kommerell憩室的外科治疗
- Author:
Nan DING
1
;
Jian GUO
;
Zhiqiang LI
;
Yaobin ZHU
;
Lei SHEN
;
Yudong ZHAO
;
Hanlu YI
;
Jinrui ZHANG
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院心脏外科 100045
- Keywords:
Congenital heart disease;
Complete vascular ring;
Kommerell diverticulum;
Children
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(7):410-413
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis, surgical treatment and surgical results of infantile left subclavian ar-tery combined with Kommerell diverticulum.Methods In our hospital from 2014 to 2017, there were 15 cases of left subclavi-an artery combined with Kommerell diverticulum, 10 males and 5 females, average age 11.8 months(2 to 48 months), average weight of 9.2kg(4 -24 kg), including 3 cases with ventricular septal defect ( VSD), and 1 cases of coarctation of aorta (COA).Children with postoperative respiratory difficulty, recurrent respiratory infection, chronic cough and other respiratory symptoms, preoperative detection of airway and or esophagus compression performance after cardiac computed tomography ex-amination confirmed, general anesthesia, thoracotomy or left chest lateral thoracotomy, cut off arterial ligaments and Kommerell diverticulum Resection and vagal left subclavian artery transplantation were performed in the left common carotid artery com-bined with cardiac malformation.Results All the children were cured and discharged from hospital.The follow-up and mid-term recovery were good.Conclusion Infants with airway and esophageal compression may have aberrant left subclavian artery combined with Kommerell diverticulum , cardiac CT is an effective means to diagnose this disease .Removal of the associated Kommerell diverticulum and transferring the left subclavian artery to the left common carotid artery , as the main operative meth-od has good early prognosis,and may eliminate residual symptoms and late complications .
