一例累及镜像分支的右侧主动脉弓及右侧降主动脉的B型主动脉夹层病例。
A case of Standford type B aortic dissection involving a right-sided aortic arch with mirror-image branching and right-sided descending aorta.
作者信息
Kaneda T, Lemura J, Zhang Z, Inoue T, Onoe M, Kitayama H, Nakamoto S, Oka H, Otaki M, Oku H
机构信息
Department of Cardiovascular Surgery, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan.
出版信息
Thorac Cardiovasc Surg. 2001 Feb;49(1):51-3. doi: 10.1055/s-2001-9910.
Isolated right aortic arch with mirror-image branching is a rare congenital anomaly. To date, no case has been reported for aortic dissection involving a right aortic arch with mirror-image branching. We report here on a case involving a 58-year-old man in whom expanding type B aortic dissection was demonstrated in the right aortic arch with mirror-image branching and a right descending aorta. The patient was successfully treated by interposition of a prosthetic graft via a right posterolateral thoracotomy approach. We also reviewed the literature.
孤立性右位主动脉弓伴镜像分支是一种罕见的先天性异常。迄今为止，尚未有涉及右位主动脉弓伴镜像分支的主动脉夹层病例报道。在此，我们报告一例58岁男性患者，其在右位主动脉弓伴镜像分支及右降主动脉中出现了扩张型B型主动脉夹层。该患者通过右后外侧开胸手术置入人工血管成功治疗。我们还对相关文献进行了回顾。
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