Higashikuni Yasutomi, Nagashima Tamon, Ishizaka Nobukazu, Kinugawa Koichiro, Hirata Yasunobu, Nagai Ryozo
Int J Cardiol. 2008 Oct 30;130(1):e53-5. doi: 10.1016/j.ijcard.2007.06.150. Epub 2007 Sep 21.
A right aortic arch is a rare congenital anomaly. This condition is occasionally found with atherosclerotic changes of the anomalous vessels, dissection, or aneurysmal dilatation in adulthood by emergence of symptoms or incidentally by radiographic studies for an evaluation of other diseases. This condition is clinically relevant because of the morbidity caused by compression of mediastinal structures by anomalous vessels and the mortality associated with rupture of aneurysms. In this report, we present a very rare case of a 70-year-old male patient with the right aortic arch with mirror image branching and vascular ring incidentally found by radiographic studies in adulthood.
右位主动脉弓是一种罕见的先天性异常。这种情况偶尔会在成年期出现症状时或因评估其他疾病而进行影像学检查时偶然发现，伴有异常血管的动脉粥样硬化改变、夹层或动脉瘤样扩张。由于异常血管对纵隔结构的压迫所导致的发病率以及与动脉瘤破裂相关的死亡率，这种情况具有临床相关性。在本报告中，我们呈现了一例非常罕见的病例，一名70岁男性患者，成年期通过影像学检查偶然发现右位主动脉弓伴镜像分支和血管环。
