右锁骨下动脉异常导致的先天性咽下困难。
Dysphagia lusoria caused by an aberrant right subclavian artery.
作者信息
Carrizo Gonzalo J, Marjani Massoud A
机构信息
Department of Surgery, Waterbury Hospital Health System, Waterbury, Connecticut 06708, USA.
出版信息
Tex Heart Inst J. 2004;31(2):168-71.
Abstract
A 36-year-old, otherwise-healthy woman with a 6-year history of progressive dysphagia underwent an esophagogram that revealed an oblique extrinsic defect with an inferior-to-superior (left-to-right) course consistent with an aberrant right subclavian artery. An aortogram confirmed the diagnosis of aberrant right subclavian artery. She underwent surgical repair, tolerated the procedure well, and was discharged home, symptom free, on postoperative day 3. We found that the right supraclavicular approach provides good exposure and avoids the morbidity of the classically described approach via a median sternotomy or thoracotomy.
摘要
一名36岁、其他方面健康的女性，有6年进行性吞咽困难病史，接受了食管造影，结果显示有一个斜行的外在缺损，从下至上（从左至右）走行，符合异常右锁骨下动脉表现。主动脉造影证实了异常右锁骨下动脉的诊断。她接受了手术修复，手术过程耐受良好，术后第3天无症状出院回家。我们发现右锁骨上入路能提供良好的视野，且避免了经典描述的经正中胸骨切开术或开胸术入路的并发症。
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