先天性心脏病外科治疗中国专家共识(十一):主动脉缩窄与主动脉弓中断  

Chinese expert consensus on surgical treatment of congenital heart disease(11):Coarctation of the aorta and interrupted aortic arch

作　　者：张海波[1] 李守军[2] ZHANG Haibo;LI Shoujun(Department o f Cardiothoracic Surgery,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai,200127,P.R.China;Department of Pediatric Cardiac Surgery,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,P.R.China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心心胸外科,上海200127 [2]中国医学科学院,北京协和医学院,国家心血管病中心,阜外医院小儿外科中心,北京100037

出　　处：《中国胸心血管外科临床杂志》2020年第11期1255-1261,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：主动脉缩窄与主动脉弓中断是主动脉弓部的先天性畸形,自然预后差,需要早期甚至急诊手术治疗。随着手术技术、体外循环及围手术期监护水平的提高,手术死亡率已大大降低。但是主动脉弓再梗阻、左心室流出道梗阻、远期高血压仍是术后随访过程中可能面临的问题。我们通过查阅大量文献,组织专家组进行了讨论,对主动脉缩窄及主动脉弓中断的外科治疗达成了一些共识。希望此共识有助于中国同行进一步提高主动脉缩窄及主动脉弓中断患儿的整体手术效果。Coarctation of the aorta and interrupted aortic arch are congenital anomalies affecting the aortic arch.Because of the poor natural prognosis,many patients will need early surgical repair or even emergency surgery.With the improvement of the surgical techniques,cardiopulmonary bypass techniques and perioperative intensive care,surgical mortality has now dramatically decreased.However,aortic arch restenosis,left ventricular outflow tract obstruction and long-term hypertension are problems that may be still encountered during the follow-up period.By reviewing large amounts of literature and discussing among experts,we achieved a consensus on many aspects of the management strategy.We hope this consensus will help Chinese colleagues further improve the overall surgical outcomes of coarctation of aorta and interrupted aortic arch.

关 键 词：主动脉缩窄 主动脉弓中断 外科治疗 专家共识 

分 类 号：R726.5[医药卫生—儿科]