一名右锁骨下动脉异常患者在进行冠状动脉血运重建手术前，对其锁骨下动脉进行经皮血管成形术和支架置入术。

Percutaneous angioplasty and stenting of subclavian arteries before surgical coronary revascularization in a patient with an aberrant right subclavian artery.

作者信息

Taha M M, Nakahara I, Higashi T, Iwamuro Y, Watanabe Y, Taki W

机构信息

Department of Neurosurgery, Kokura Memorial Hospital, 1-1Kifunemachi, Kokurakita-ku, 802-8555 Kitakyusyu-shi Fukuoka, Japan, and Department of Neurosurgery, Zagazig University Hospital, Egypt.

出版信息

J Neuroradiol. 2007 Oct;34(4):267-71. doi: 10.1016/j.neurad.2007.06.004.

DOI:10.1016/j.neurad.2007.06.004

PMID:17640732

Abstract

An aberrant right subclavian artery occurs in less than 2% of the population. An associated stenosis of the subclavian artery carries a risk of subclavian-coronary steal in patients who undergo coronary revascularization. We report on the case of a 54-year-old man admitted to our hospital for a coronary artery bypass graft (CABG). Angiographic examination revealed bilateral subclavian-artery stenosis with an aberrant right subclavian artery, anomalous origin of the right vertebral artery from the right common carotid artery, and left vertebral-artery occlusion. The patient underwent successful bilateral subclavian angioplasty and stenting.

摘要

迷走右锁骨下动脉在不到2%的人群中出现。锁骨下动脉相关狭窄会给接受冠状动脉血运重建的患者带来锁骨下-冠状动脉窃血风险。我们报告一例54岁男性因冠状动脉旁路移植术（CABG）入院的病例。血管造影检查显示双侧锁骨下动脉狭窄合并迷走右锁骨下动脉、右椎动脉起自右颈总动脉异常以及左椎动脉闭塞。该患者成功接受了双侧锁骨下动脉血管成形术和支架置入术。