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Детская хирургия. Журнал им. Ю.Ф. Исакова. 2018; 22: 96-98

ЛЕЧЕНИЕ ПАЦИЕНТОВ С АТРЕЗИЕЙ ПИЩЕВОДА И ПРАВОЙ ДУГОЙ АОРТЫ

Козлов Ю. А., Новожилов В. А., Вебер И. Н., Распутин А. А., Ковальков К. А., Чубко Д. М., Барадиева П. Ж., Звонков Д. А., Тимофеев А. Д., Очиров Ч. Б., Распутина Н. В., Ус Г. П., Кузнецова Н. Н., Кононенко М. И.

https://doi.org/10.18821/1560-9510-2018-22-2-96-98

Аннотация

Правосторонняя (правая, праворасположенная) дуга аорты (ПДА) регистрируется приблизительно у 5% пациентов с атрезией пищевода (АП). Эта сосудистая аномалия может затруднять хирургическое лечение АП и является по-прежнему нерешенной проблемой в детской хирургии. Обычные способы определения анатомии дуги аорты не всегда предоставляют точные данные, что может привести к торакотомии на стороне расположения дуги аорты. Навыки и предпочтения хирурга все ещё определяют выбор хирургического подхода у пациентов с АП и ПДА. Для большинства опытных хирургов выполнить анастомоз пищевода у пациентов с ПДА из правого доступа не представляет трудностей. Однако у больных АП и ПДА, сочетающихся с сосудистым кольцом, левосторонняя торакотомия может сделать окончательную комбинированную реконструкцию технически более простой. В этом научном обзоре мы стремились определить распространённость ПДА в популяции пациентов с АП, уровень дооперационной оценки этой сосудистой аномалии и существующие хирургические стратегии, состоящие в выборе оптимальной стороны доступа к пищеводу.
Список литературы

1. Козлов Ю.А., Подкаменев В.В., Новожилов В.А. Атрезия пищевода. М.: ГЭОТАР-Медиа; 2015.

2. Разумовский А.Ю., Мокрушина О.Г., Голоденко Н.В., Беляева И.Д., Левитская М.В., Шумихин В.С., Ханвердиев Р.А. Сравнительный анализ лечения новорожденных с атрезией пищевода после пластики открытым и эндоскопическим способами. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2011; 1: 40-7.

3. Gray S.W., Skandalakis J.E. The thoracic and abdominal aorta. In: Gray S.W. Embryology for surgeons. Baltimore (MD): Williams & Wilkins; 1994: 976-1002.

4. Parolini F., Leva E., Morandi A. et al. Anastomotic strictures and endoscopic dilatations following esophageal atresia repair. Pediatr. Surg. Int. 2013; 29(6): 601-5.

5. Berthet S., Tenisch E., Miron M., Alami N., Timmons J., Aspirot A., Faure C. Vascular anomalies associated with esophageal atresia and tracheoesophageal fistula. J. Pediatr. 2015; 166(5): 1140-4. e2. doi: 10.1016/j.jpeds.2015.01.038.

6. Parolini F., Armellini A., Boroni G., Bagolan P., Alberti D. The management of newborns with esophageal atresia and right aortic arch: A systematic review or still unsolved problem. J. Pediatr. Surg. 2016; 51(2): 304-9.

7. Spitz L. Oesophageal atresia. Orphanet. J. Rare Dis. 2007; (2): 24. doi: 10.1186/1750-1172-2-24

8. Harrison M.R., Hanson B.A., Mahour G.H. et al. The significance of right aortic arch in repair of esophageal atresia and tracheoesophageal fistula. Pediatr. Surg. 1977; 12(6): 861-9.

9. Harrison M.R., Weitzman J.J., deLorimier A.A. Localization of the aortic arch prior to repair of esophageal atresia. J. Pediatr. Surg. 1980; 15(3): 312.

10. Bowkett B., Beasley S.W., Myers N.A. The frequency, significance, and management of a right aortic arch in association with esophageal atresia. Pediatr. Surg. Int. 1999; 15(1): 8-31.

11. Babu R., Pierro A., Spitz L. et al. The management of oesophageal atresia in neonates with right-sided aortic arch. J. Pediatr. Surg. 2000; 35(1): 56-8.

12. Wood J.A., Carachi R. The right-sided aortic arch in children with oesophageal atresia and tracheooesophageal fistula. Eur. J. Pediatr. Surg. 2012; 22(1): 3-7.

13. Bicakci U., Tander B., Ariturk E. et al. The right-sided aortic arch in children with esophageal atresia and tracheoesophageal fistula: a repair through the right thoracotomy. Pediatr. Surg. Int. 2009; 25(5): 423-5. doi: 10.1007/s00383-009-2354-6.

14. Canty Jr.T.G., Boyle Jr.E.M., Linden B. et al. Aortic arch anomalies associated with long gap esophageal atresia and tracheoesophageal fistula. J. Pediatr. Surg. 1997; 32(11): 1587-91.

15. Allen S.R., Ignacio R., Falcone R.A. et al. The effect of a right-sided aortic arch on outcome in children with esophageal atresia and tracheoesophageal fistula. J. Pediatr. Surg. 2006; 41(3): 479-83.

16. Holcomb III G.W., Rothenberg S.S., Bax K.M. et al. Thoracoscopic repair of esophageal atresia and tracheoesophageal fistula: a multi-institutional analysis. Ann. Surg. 2005; 242(3): 422-8.

17. Martin R., Hascoet S., Dulac Y. et al. Comparison of two- and three-dimensional thoracic echocardiography for measurement of aortic anulys diameter in children. Arch. Cardiovasc. Dis. 2013; 106(10): 492-500.

18. Katz M., Konen E. Spiral CT and 3D image reconstruction of vascular rings and associated tracheobronchial anomalies. J. Comput. Assist.Tomogr. 1995; 19(4): 564-8.

19. Burrows P.E., MacDonald C.E. Magnetic resonance imaging of the pediatric thoracic aorta. Semin Ultrasound CT MR. 1993; 14(2): 129-44.

20. Lo A., Baird R., De Angelis P., Levesque D., Morinville V., di Abriola G.F. et al. Arterioesophageal fistula after stenting for esophageal atresia. J. Pediatr. Gastroenterol. Nutr. 2013; 56(5): e30-1. doi: 10.1097/MPG.0b013e31824ffd7f

21. Millar A., Rostom A., Rasuli P., Saloojee N. Upper gastrointestinal bleeding secondary to an aberrant right subclavian artery-esophageal fistula: a case report and review of the literature. Can. J. Gastroenterol. 2007; 21(6): 389-92.

22. Situma M., Kubiak R., Numanoglu A., Wood R., Brooks A., Millar A.J. Near-fatal bleeding from an aberrant subclavian artery following colonic interposition for oesophageal atresia. Pediatr. Surg. Int. 2011; 27(10): 1131-3. doi: 10.1007/s00383-011-2881-9.

23. Wong K.K., Tam P.K. Thoracoscopic repair of esophageal atresia through the right chest in neonates with right-sided aortic arch. J. Laparoendosc. Adv. Surg. Tech. A. 2010; 20(4): 403-4. doi: 10.1089/lap.2009.0265

24. Van Son J.A., Julsrud P.R., Hagler D.J., Sim E.K., Pairolero P.C., Puga F.J. et al. Surgical treatment of vascular rings: the Mayo Clinic experience. Mayo Clin. Proc. 1993; 68(11): 1056-63.

25. Bonnard A., Auber F., Fourcade L., Marchac V., Emond S., Revillon Y. Vascular ring abnormalities: a retrospective study of 62 cases. J. Pediatr. Surg. 2003; 38(4): 539-43.

26. Ruzmetov M., Vijay P., Rodefeld M.D., Turrentine M.W., Brown J.W. Follow-up of surgical correction of aortic arch anomalies causing tracheoesophageal compression: a 38-year single institution experience. J. Pediatr. Surg. 2009; 44(7): 1328-32.

Russian Journal of Pediatric Surgery. 2018; 22: 96-98

TREATMENT OF PATIENTS WITH ESOPHAGEAL ATRESIA AND RIGHT AORTIC ARCH

Kozlov Yu. A., Novozhilov V. A., Veber I. N., Rasputin A. A., Kovalkov K. A., Chubko D. M., Baradieva P. Zh., Zvonkov D. A., Timofeev A. D., Ochirov Ch. B., Rasputina N. V., Us G. P., Kuznetsova N. N., Kononenko M. I.

https://doi.org/10.18821/1560-9510-2018-22-2-96-98

Abstract

Right-sided (right, in dextral position) aortic arch (RAA) is recorded in approximately 5% of esophageal atresia (EA) patients. This vascular abnormality may complicate the surgical treatment of EA and is still an unsolved problem in pediatric surgery. Conventional methods for determining the anatomy of the aortic arch do not always provide accurate data, which can lead to thoracotomy on the side of the aortic arch. Skills and preferences of the surgeon still determine the choice of surgical approach in EA patients with RAA. For most experienced surgeons, to make anastomosis of the esophagus in patients with RAA from right access is not so difficult. However, in EA patients with RAA, combined with the vascular ring, left-sided thoracotomy can make the final combined reconstruction technically simpler. In this scientific review, we sought to determine the prevalence rate of RAA in the population of EA patients, the level of pre-operative evaluation of this vascular anomaly, and the existing surgical strategies that consist in choosing the optimal side for access to the esophagus.
References

1. Kozlov Yu.A., Podkamenev V.V., Novozhilov V.A. Atreziya pishchevoda. M.: GEOTAR-Media; 2015.

2. Razumovskii A.Yu., Mokrushina O.G., Golodenko N.V., Belyaeva I.D., Levitskaya M.V., Shumikhin V.S., Khanverdiev R.A. Sravnitel'nyi analiz lecheniya novorozhdennykh s atreziei pishchevoda posle plastiki otkrytym i endoskopicheskim sposobami. Rossiiskii vestnik detskoi khirurgii, anesteziologii i reanimatologii. 2011; 1: 40-7.

3. Gray S.W., Skandalakis J.E. The thoracic and abdominal aorta. In: Gray S.W. Embryology for surgeons. Baltimore (MD): Williams & Wilkins; 1994: 976-1002.

4. Parolini F., Leva E., Morandi A. et al. Anastomotic strictures and endoscopic dilatations following esophageal atresia repair. Pediatr. Surg. Int. 2013; 29(6): 601-5.

5. Berthet S., Tenisch E., Miron M., Alami N., Timmons J., Aspirot A., Faure C. Vascular anomalies associated with esophageal atresia and tracheoesophageal fistula. J. Pediatr. 2015; 166(5): 1140-4. e2. doi: 10.1016/j.jpeds.2015.01.038.

6. Parolini F., Armellini A., Boroni G., Bagolan P., Alberti D. The management of newborns with esophageal atresia and right aortic arch: A systematic review or still unsolved problem. J. Pediatr. Surg. 2016; 51(2): 304-9.

7. Spitz L. Oesophageal atresia. Orphanet. J. Rare Dis. 2007; (2): 24. doi: 10.1186/1750-1172-2-24

8. Harrison M.R., Hanson B.A., Mahour G.H. et al. The significance of right aortic arch in repair of esophageal atresia and tracheoesophageal fistula. Pediatr. Surg. 1977; 12(6): 861-9.

9. Harrison M.R., Weitzman J.J., deLorimier A.A. Localization of the aortic arch prior to repair of esophageal atresia. J. Pediatr. Surg. 1980; 15(3): 312.

10. Bowkett B., Beasley S.W., Myers N.A. The frequency, significance, and management of a right aortic arch in association with esophageal atresia. Pediatr. Surg. Int. 1999; 15(1): 8-31.

11. Babu R., Pierro A., Spitz L. et al. The management of oesophageal atresia in neonates with right-sided aortic arch. J. Pediatr. Surg. 2000; 35(1): 56-8.

12. Wood J.A., Carachi R. The right-sided aortic arch in children with oesophageal atresia and tracheooesophageal fistula. Eur. J. Pediatr. Surg. 2012; 22(1): 3-7.

13. Bicakci U., Tander B., Ariturk E. et al. The right-sided aortic arch in children with esophageal atresia and tracheoesophageal fistula: a repair through the right thoracotomy. Pediatr. Surg. Int. 2009; 25(5): 423-5. doi: 10.1007/s00383-009-2354-6.

14. Canty Jr.T.G., Boyle Jr.E.M., Linden B. et al. Aortic arch anomalies associated with long gap esophageal atresia and tracheoesophageal fistula. J. Pediatr. Surg. 1997; 32(11): 1587-91.

15. Allen S.R., Ignacio R., Falcone R.A. et al. The effect of a right-sided aortic arch on outcome in children with esophageal atresia and tracheoesophageal fistula. J. Pediatr. Surg. 2006; 41(3): 479-83.

16. Holcomb III G.W., Rothenberg S.S., Bax K.M. et al. Thoracoscopic repair of esophageal atresia and tracheoesophageal fistula: a multi-institutional analysis. Ann. Surg. 2005; 242(3): 422-8.

17. Martin R., Hascoet S., Dulac Y. et al. Comparison of two- and three-dimensional thoracic echocardiography for measurement of aortic anulys diameter in children. Arch. Cardiovasc. Dis. 2013; 106(10): 492-500.

18. Katz M., Konen E. Spiral CT and 3D image reconstruction of vascular rings and associated tracheobronchial anomalies. J. Comput. Assist.Tomogr. 1995; 19(4): 564-8.

19. Burrows P.E., MacDonald C.E. Magnetic resonance imaging of the pediatric thoracic aorta. Semin Ultrasound CT MR. 1993; 14(2): 129-44.

20. Lo A., Baird R., De Angelis P., Levesque D., Morinville V., di Abriola G.F. et al. Arterioesophageal fistula after stenting for esophageal atresia. J. Pediatr. Gastroenterol. Nutr. 2013; 56(5): e30-1. doi: 10.1097/MPG.0b013e31824ffd7f

21. Millar A., Rostom A., Rasuli P., Saloojee N. Upper gastrointestinal bleeding secondary to an aberrant right subclavian artery-esophageal fistula: a case report and review of the literature. Can. J. Gastroenterol. 2007; 21(6): 389-92.

22. Situma M., Kubiak R., Numanoglu A., Wood R., Brooks A., Millar A.J. Near-fatal bleeding from an aberrant subclavian artery following colonic interposition for oesophageal atresia. Pediatr. Surg. Int. 2011; 27(10): 1131-3. doi: 10.1007/s00383-011-2881-9.

23. Wong K.K., Tam P.K. Thoracoscopic repair of esophageal atresia through the right chest in neonates with right-sided aortic arch. J. Laparoendosc. Adv. Surg. Tech. A. 2010; 20(4): 403-4. doi: 10.1089/lap.2009.0265

24. Van Son J.A., Julsrud P.R., Hagler D.J., Sim E.K., Pairolero P.C., Puga F.J. et al. Surgical treatment of vascular rings: the Mayo Clinic experience. Mayo Clin. Proc. 1993; 68(11): 1056-63.

25. Bonnard A., Auber F., Fourcade L., Marchac V., Emond S., Revillon Y. Vascular ring abnormalities: a retrospective study of 62 cases. J. Pediatr. Surg. 2003; 38(4): 539-43.

26. Ruzmetov M., Vijay P., Rodefeld M.D., Turrentine M.W., Brown J.W. Follow-up of surgical correction of aortic arch anomalies causing tracheoesophageal compression: a 38-year single institution experience. J. Pediatr. Surg. 2009; 44(7): 1328-32.