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血管环

Authors
Amy L Juraszek, MD, FAAP, FACC
David R Fulton, MD
Section Editor
John K Triedman, MD
Deputy Editor
Carrie Armsby, MD, MPH
Translators
董卫, 主治医师

引言

血管环是主动脉弓的先天性畸形，可导致气管支气管树和/或食管受到压迫，引起呼吸系统和胃肠道症状。血管环可分为完全性血管环(即气管和食管完全被血管畸形所包绕)和不完全性血管环(即气管和食管未被完全包绕)。

本专题将讨论血管环和吊带的不同类型及其临床表现、诊断和治疗。

解剖学

主动脉弓的发育始于胚胎形成的第4周，由成对的背主动脉和6对对称成对的弓动脉发育而来。在接下来数周的胚胎发育中，这些结构会重塑和重排，形成正常的左位主动脉弓[1,2]。

●左侧和右侧的第3弓保留，分别成为左颈动脉和右颈动脉

●左侧的第4弓保留，成为弓横部

                       

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Literature review current through: 2017-07 . | This topic last updated: 2016-11-04.
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