Guhathakurta Soma, Agarwal Ravi, Borker Shirish, Sharma Ashok Kumar
Department of Cardiothoracic Surgery, Wellington Public Hospital, Wellington, New Zealand.
Tex Heart Inst J. 2003;30(3):221-4.
Surgical management of a dissection of the subclavian artery is sparsely reported in the literature because of its rare occurrence. Recently, we treated a patient who had presented with a huge left subclavian artery dissection, a small right subclavian artery aneurysm with pseudocoarctation of the aorta, and a small perimembranous ventricular septal defect. Surgical management of the left subclavian artery dissection and correction of the pseudocoarctation of the aorta were achieved effectively. That unusual combination of pathologic conditions prompted us to report this case.
由于锁骨下动脉夹层的发生率较低，其外科治疗在文献中报道较少。最近，我们治疗了一名患者，该患者患有巨大的左锁骨下动脉夹层、伴有主动脉假性缩窄的小的右锁骨下动脉瘤以及小的膜周部室间隔缺损。有效地实现了左锁骨下动脉夹层的外科治疗以及主动脉假性缩窄的矫正。这种不寻常的病理状况组合促使我们报告此病例。
