Faʻalelotu aorta faʻalua

Faʻalua aortic arch o se le masani ai fausiaina o le aorta, o le lapoʻa alatoto e aveina le toto mai le fatu i le totoe o le tino. O se faʻafitauli masani, o lona uiga o loʻo iai i le taimi na fanau mai ai.

Faʻalua aortic arch o se ituaiga masani o se vaega o faʻaletonu e aafia ai le atinaʻe o le aorta i le manava. O nei faaletonu mafua ai le le masani ai faʻavae valaauina o le vascular mama (o se liʻo o toto toto).

E masani lava, o le aorta e atiaʻe mai se tasi o le tele o vaega faʻapipiʻo o aano (faʻaputuga). A o tuputupu aʻe pepe i le manava, na vaeluaina faʻavaʻa i ni vaega. E gagau e le tino nisi faʻaputuga, aʻo isi e fai ma alatoto. O le aorta e masani ona atiaʻe o se pupuni e tasi e tuʻua le fatu ma agaʻi i le agavale.

I faitotoʻa faʻalua aortic, o nisi o faʻaputuga na tatau ona mouʻese o loʻo i ai pea i le taimi o le fanau mai e faʻaopoopo i le masani faʻaofuofu. O pepe ma lo latou faʻalua aortic arch o loʻo iai le aorta e faia i ni vaʻa se lua ae le o le tasi.O vaega e lua i le aorta o loʻo i ai ni tamaʻi alatoto o loʻo lala ese mai ia latou. O lona iʻuga, e fealualuaʻi lala e lua ma oomi i lalo le paipa matagi ma le paipa (esophagus) e ave ai meaʻai mai le gutu i le manava.

O le faʻalua aortic arch ono tupu i isi faʻalavelave fanau fatu, e aofia ai:

• Faʻailoga o Fallot
• Truncus arteriosus
• Suiga o alatoto tetele
• Faaletonu septric Ventricular

E seasea lava maua se faitotoʻa faʻalua aortic. O mama mama e maua ai sina pasene o faʻafitauli uma e afua mai i le fatu. O nei, o se sili atu nai lo le afa e mafua mai i faʻalua aortic faitotoʻa. O le tulaga tupu tutusa i aliʻi ma fafine. E masani ona i ai i tagata ma nisi chromosome faʻaletonu.

Talu ai o faʻailoga o le faʻalua aortic arch e masani ona agamalu, atonu e le mafai ona maua le faʻafitauli seʻi vagana ua matua le tamaititi.

O le faʻalua aortic arch ono faʻamalosi luga o le trachea ma le esophagus, e mafua ai i faʻafitauli manava ma folo. O le faigata o auga faʻamoemoe i le tele o le aortic faitotoʻa oomiina luga o nei fausaga.

Manava faʻailoga aofia ai:

• Leo maualuga i le taimi o le manava (stridor)
• Pisa manava
• Faʻafitauli masani
• Uigi

Faʻamaoniga o le manava e mafai ona aofia ai:

• Taoa
• Faigata ona ai ma folo
• Talosaga

O faʻailoga e mafai ona taʻitaʻia ai se tausi soifua maloloina masalosalo faʻalua aortic arch. O isi suʻega o le a manaʻomia e faʻamaonia ai le faʻamaoniga.

O suʻega o loʻo mulimuli mai e mafai ona fesoasoani e faʻailoaina ni faʻailoga faʻalelua aorta:

• Fatafata x-ray
• Suʻega e fai ai koluse-ata ata o le tino (CT poʻo le MRI scan)
• Ultrasound suʻega o le fatu (echocardiography)
• X-ray faʻaaogaina se vailaʻau e faʻamatalaina ai le esophagus (barium folo)

O taʻotoga e mafai ona faia e faʻapipiʻi ai faitotoʻa faʻalua aortic arch. E nonoa e le fomai tipitipi le lala laʻititi ma tuueseese mai le lala lapoʻa. Ona tapunia lea e le fomai tipitipi pito o le aorta ma suʻi. O lenei e faʻamamaina le mamafa i luga o le esophagus ma windpipe.

Tele tamaiti e maua le lagona lelei pe a uma taotoga, e ui lava o nisi atonu e faʻaauau pea ona maua i latou manava faʻailoga mo sina taimi pe a maeʻa taotoga. E masani ona tupu lenei mea ona o le vaivai o le trachea ona o le mamafa i luga o ia i luma o taotoga toe faaleleia.

I tulaga seasea tupu, afai o le faitotoʻa o loʻo oomiina i lalo matua malosi i luga o le alatele vaʻaia, o le tamaititi mafai ona i ai faigata faigata manava e tau i le oti.

Faʻafitauli e ono aofia ai:

• Le mafai ona manuia
• Faʻamaʻi manava
• Faʻamagoina le ufiufi o le esophagus (esophageal erosion) ma le paipa
• E seasea lava, o se fesoʻotaʻiga le masani ai i le va o le esophagus ma le aorta (aortoesophageal fistula)

Valaʻau lau fomaʻi pe a fai o loʻo i lau tama se faʻailoga o le faʻamalumaluga o aastic arch.

E leai se auala iloa e puipuia ai lenei tulaga.

Faʻaseʻe faitotoʻa Aortic; Faitotoʻa faʻaluaina; Faʻaletonu fatu fatu - faʻalua aortic arch; Fanau ua faaletonu le fatu - faʻalua faitotoʻa aortic

• Mama mama
• Faʻalelotu aorta faʻalua

Bryant R, Yoo S-J. V mama mama, maʻai alatoto pulmonary, ma isi fesoʻotaʻiga. I: Wernovsky G, Anderson RH, Kumar K, Mussatto K, et al, eds. Anderson's Pediatric Cardiology. 4th ed. Filatelefia, PA: Elsevier; 2020: mata 47.

Fraser CD, Kane LC. Faʻamaʻi fatu fatu. I totonu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Tusitusiga o Taʻotoga. 20 ed. Filatelefia, PA: Elsevier; 2017: mata 58.

Kliegman RM, St.Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Isi fatu fanau ma malformations vaskular. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: chap 459.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Fanau fatu faʻamaʻi i le tagata matua ma tamaiti onosai. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 75.