Fukada Yasuhisa, Matsui Y, Kunihara T, Funakoshi T, Shiiya N, Yasuda K
Department of Cardiovascular Surgery, NTT East Corporation Sapporo Hospital, Sapporo, Japan.
Kyobu Geka. 2004 Aug;57(9):871-5.
Aberrant subclavian artery (ASA) is the most frequently encountered congenital anomaly of aortic arch. The ASA aneurysms are rare but potentially lethal disease, it has been recognized that the presence of an aneurysm of an ASA itself is an indication for surgery. We experienced 4 cases with ASA during the past 23 years. All cases were male. Their ages ranged from 51 to 73 years old. Three patients had a right-sided aortic arch. Among the 4 patients, only 1 underwent total arch replacement, but the other 3 patients could be followed conservatively for 1, 7 and 23 years, respectively. We reviewed the problem of the diagnosis and treatment of the ASA including surgical indication.
异常锁骨下动脉(ASA)是最常见的先天性主动脉弓异常。ASA动脉瘤罕见但可能致命,人们已经认识到ASA本身存在动脉瘤是手术指征。在过去23年中,我们遇到了4例ASA患者。所有病例均为男性。他们的年龄在51岁至73岁之间。3例患者有右侧主动脉弓。在这4例患者中,只有1例接受了全弓置换,而其他3例患者分别接受了1年、7年和23年的保守随访。我们回顾了ASA的诊断和治疗问题,包括手术指征。