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先天性单侧肺动脉缺失很少见,以往一般认为此畸形不能手术,也少有外科纠治术的报道。作者在1982年治疗了1例仅3个月的婴儿。患儿出生时情况尚可,但以后迅速产生肺动脉高压症,最后不得不行气管插管和机械辅助呼吸。超声心动图和血管造影证实患者右肺动脉缺失,左肺动脉压力达到体循环压力水平,预后极差。经正中劈开胸骨切口,解剖右侧肺门,找到上、下叶肺动脉,发现这二支血管汇合成一段右总肺动脉。右侧动脉韧带连接于这段血管和无名动脉之间。单一的肺动脉从右室发
Congenital unilateral pulmonary artery loss is rare, in the past that this deformity can not be surgery, there are few reports of surgical correction. The author treated one infantile in 1982 for only 3 months. Children born is acceptable, but after the rapid generation of pulmonary hypertension, and finally forced to endotracheal intubation and mechanical assisted breathing. Echocardiography and angiography confirmed the right pulmonary artery in patients with missing, left pulmonary artery pressure to achieve systemic pressure levels, the prognosis is poor. Cleave the sternum incision through the median, anatomize the right hilar, find the upper and lower lobular pulmonary arteries and found that these two blood vessels merged into a right total pulmonary artery. The right articular ligament is connected between this vein and the innominate artery. A single pulmonary artery develops from the right ventricle