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多层螺旋计算机断层扫描诊断的正常主动脉弓和右侧主动脉弓患者的迷走动脉:两例报告

Arteria lusoria in patients with a normal and a right-sided aortic arch diagnosed with multi-slice computed tomography: a report of two cases.

作者信息

Czekajska-Chehab E, Uhlig S, Staśkiewicz G, Mazur-Stazka E, Torres A, Gaweda K, Drop A

机构信息

1st Department of Radiology, Medical University, Lublin, Poland.

出版信息

Folia Morphol (Warsz). 2007 Feb;66(1):74-7.

Abstract

A retro-oesophageal course of the right subclavian artery is referred to as "arteria lusoria". It may be related to severe compression of the trachea and oesophagus, typically resulting in impaired swallowing. The paper presents two patients with arteria lusoria, which in one patient was an aberrant right subclavian artery and in the other an aberrant left subclavian artery, originating from the right-sided aortic arch. In both cases the diagnosis was made with multi-slice computed tomography. The embryology of the anomalies and clinical status of the patients is discussed. Arteria lusoria should be considered in differential diagnosis in patients with dyspnoea and dysphagia. Multi-slice computed tomography allows this anatomical variant to be reliably visualised.

摘要

右锁骨下动脉走行于食管后方的情况被称为“迷走动脉”。它可能与气管和食管的严重受压有关,通常会导致吞咽障碍。本文介绍了两名患有迷走动脉的患者,其中一名患者的是异常右锁骨下动脉,另一名是异常左锁骨下动脉,均起源于右侧主动脉弓。在这两个病例中,均通过多层计算机断层扫描做出了诊断。文中讨论了这些异常情况的胚胎学以及患者的临床状况。对于有呼吸困难和吞咽困难的患者,鉴别诊断时应考虑迷走动脉。多层计算机断层扫描能够可靠地显示这种解剖变异。

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