Miller J M, Miller K S
Liberty Medical Center, Incorporated, Baltimore, Maryland.
Am Surg. 1992 Aug;58(8):502-3.
There is a lack of appreciation for the fact that, in less than 1 per cent of the general population, the right subclavian artery has an anomalous origin and course. Fortunately, most of these persons do not have symptoms; however, if they should have neck surgery, they may be at increased risk for damage to the right inferior laryngram nerve. The earliest reported description of an anomalous right subclavian artery was that of Hunald in 1735; 52 years passed before the clinical syndrome of dysphagia lusoria was published by Bayford in 1787. Bayford did not mention the associated displacement of the right inferior laryngeal nerve. In 1823, Stedman described the entire anatomical picture.
一般人群中,不到1%的人右锁骨下动脉起源和走行异常,这一事实并未得到充分认识。幸运的是,这些人中大多数没有症状;然而,如果他们需要进行颈部手术,右喉返神经受损的风险可能会增加。最早报道的异常右锁骨下动脉描述是1735年胡纳尔的描述;52年后,1787年贝福德发表了吞咽困难伴畸形的临床综合征,但他没有提及右喉返神经的相关移位。1823年,斯特德曼描述了完整的解剖情况。