Beygui Ramin E, Esmailian Fardad, Rigberg David A, Laks Hillel
Department of Cardiothoracic Surgery, UCLA School of Medicine, 10833 Leconte Avenue, Los Angeles, CA 90095-1741, USA.
Interact Cardiovasc Thorac Surg. 2004 Dec;3(4):569-72. doi: 10.1016/j.icvts.2004.06.005.
Manifestation of anomalies of the aortic arch in adulthood has been reported in the literature. The symptoms stem from the compression of the trachea and esophagus or peripheral arterial ischemia associated with coarctation of the aberrant arch. The aberrant arch aneurysms are subject to complications of rupture or dissection. This may be the first reported case of a large complex aneurysm of an anomalous aortic arch resected on cardiopulmonary bypass without any period of hypothermic circulatory arrest or distal ischemia.
成年期主动脉弓异常的表现已有文献报道。症状源于气管和食管受压或与异常主动脉弓缩窄相关的外周动脉缺血。异常主动脉弓动脉瘤易发生破裂或夹层并发症。这可能是首例在体外循环下切除异常主动脉弓大型复杂动脉瘤的病例，术中未进行任何低温循环停搏或远端缺血处理。
