右主动脉弓伴迷走左锁骨下动脉动脉瘤的外科治疗。
Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery.
作者信息
Tsukube T, Ataka K, Sakata M, Wakita N, Okita Y
机构信息
Department of Surgery, Kobe University, School of Medicine, Japan.
出版信息
Ann Thorac Surg. 2001 May;71(5):1710-1. doi: 10.1016/s0003-4975(00)02698-9.
A saccular aneurysm in the right-sided aortic arch with aberrant left subclavian artery is an uncommon disease, and surgical treatment is complicated. Three patients with Edwards type III-B right aortic arch and enlargement of the Kommerell's diverticulum underwent operations. Right thoracotomy was the preferred approach for this lesion and partial cardiopulmonary bypass is a safe and simple procedure when the aortic arch has mild atherosclerosis.
右侧主动脉弓伴迷走左锁骨下动脉的囊状动脉瘤是一种罕见疾病，手术治疗复杂。3例患有爱德华兹III - B型右主动脉弓且Kommerell憩室增大的患者接受了手术。对于该病变，右胸切开术是首选方法，当主动脉弓有轻度动脉粥样硬化时，部分体外循环是一种安全且简单的手术。
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