Chahwan Santiago, Miller Matthew Todd, Kim Kiup Alex, Mantell Mark, Kirksey Lee
Division of Vascular Surgery, Department of Surgery, Graduate Hospital, Philadelphia, PA 19146, USA.
Ann Vasc Surg. 2006 Nov;20(6):809-12. doi: 10.1007/s10016-006-9074-3. Epub 2006 May 31.
We present a patient with a rare anomaly of the aortic arch. Angiography revealed an aberrant right subclavian artery (aRSA) originating from the middle of the aortic arch. Angiography also demonstrated an anomalous origin of the left common carotid artery sharing a common trunk with the innominate artery and a large right vertebral artery arising from the right common carotid artery. Although this particular combination of anomalies has been reported in cadaver cases, to our knowledge this is the first premortem angiographic description of a patient in which an aRSA originates from the middle of the arch between the anomalous bovine arch trunk and the left subclavian trunk.
我们报告一例患有罕见主动脉弓异常的患者。血管造影显示一条异常的右锁骨下动脉（aRSA）起源于主动脉弓中部。血管造影还显示左颈总动脉起源异常，与无名动脉共用一个主干，以及一条粗大的右椎动脉起源于右颈总动脉。尽管这种特殊的异常组合在尸体病例中已有报道，但据我们所知，这是首例对一名患者进行的生前血管造影描述，其中aRSA起源于异常的牛型主动脉弓主干和左锁骨下主干之间的主动脉弓中部。
