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右位主动脉弓伴迷走左锁骨下动脉。两例报告。

Right aortic arch with aberrant left subclavian artery. Report of two cases.

作者信息

Sakalihassan N, Defraigne J O, Limet R

机构信息

Department of Cardio-Vascular Surgery, University Hospital Sart-Tilman, Liège, Belgium.

出版信息

Surg Radiol Anat. 1991;13(4):327-31. doi: 10.1007/BF01627767.

Abstract

Two cases of adult asymptomatic right aortic arch with an aberrant subclavian artery are reported. They were discovered at time of coronary surgery. Preoperative coronary arteriography failed to demonstrate the anomalies. In one case, the right arch was suspected on chest x-ray and preoperative barium oesophagography. In one case, the proximal suture of one saphenous bypass graft was performed on the left common carotid artery. Right aortic arch is a malformation rarely discovered in adults. It generally produces no symptoms when not associated with cardiac disease.

摘要

报告了两例成人无症状性右位主动脉弓合并迷走锁骨下动脉的病例。它们是在冠状动脉手术时发现的。术前冠状动脉造影未能显示出这些异常。在一例中,胸部X线检查怀疑有右位主动脉弓,术前进行了钡剂食管造影。在一例中,一条大隐静脉旁路移植血管的近端吻合是在左颈总动脉上进行的。右位主动脉弓是一种在成人中很少发现的畸形。当不伴有心脏疾病时,它通常不会产生症状。

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