Naoum Joseph J, Parenti Jennifer L, LeMaire Scott A, Coselli Joseph S
The Texas Heart Institute at St. Luke's Episcopal Hospital, and Division of Vascular and Endovascular Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
Ann Thorac Surg. 2008 Mar;85(3):1074-6. doi: 10.1016/j.athoracsur.2007.09.032.
Aneurysms involving a right-sided aortic arch and a right-sided descending thoracic aorta with an aberrant origin of the left subclavian artery are rare. We describe the successful surgical repair of this vascular anomaly by the combined use of a left carotid to subclavian artery bypass followed by endovascular stent-graft placement to exclude the aortic aneurysm. We also review the literature associated with this particular anatomic presentation.
累及右侧主动脉弓和右侧胸降主动脉且左锁骨下动脉起源异常的动脉瘤较为罕见。我们描述了通过联合使用左颈动脉至锁骨下动脉旁路移植术，随后进行血管内支架植入术以排除主动脉瘤，成功地对这种血管异常进行了手术修复。我们还回顾了与这种特殊解剖表现相关的文献。
