Tanaka Keita, Makuuchi Haruo, Naruse Yoshihiro, Kobayashi Toshiya, Goto Masahiro, Arimura Yasuo, Katsu Masatake
Division of Cardiovascular Surgery, Toranomon Hospital, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2004 Apr;10(2):126-9.
Subclavian artery aneurysms are relatively rare in comparison with other peripheral aneurysms. We report a 65-year-old woman with multiple atherosclerotic aneurysms of the subclavian artery, aortic arch saccular aneurysm and abdominal aortic aneurysm. Two-staged operations by which the infrarenal abdominal aorta was replaced first and median sternotomy extending to the supraclavicular space for the concomitant resection of bilateral subclavian as well as aortic arch aneurysm resulted in good results.
与其他周围动脉瘤相比,锁骨下动脉瘤相对少见。我们报告了一位65岁女性,患有锁骨下动脉多发动脉粥样硬化性动脉瘤、主动脉弓囊状动脉瘤和腹主动脉瘤。通过分两阶段手术,先置换肾下腹主动脉,然后经正中胸骨切开术延伸至锁骨上间隙,同时切除双侧锁骨下动脉瘤及主动脉弓动脉瘤,取得了良好效果。