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右锁骨下动脉异常插入：成人吞咽困难的一个不常见原因。

Aberrant insertion of the right subclavian artery: an unusual cause of dysphagia in an adult.

机构信息

Department of Surgery, Division of Vascular Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

出版信息

J Gastrointest Surg. 2009 Nov;13(11):2064-7. doi: 10.1007/s11605-009-0947-y. Epub 2009 Jun 26.

DOI:10.1007/s11605-009-0947-y
PMID:19557482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2766464/
Abstract

INTRODUCTION

Within this report, we present a patient with difficulty of swallowing caused by an aberrant right subclavian artery.

DISCUSSION

This is a congenital anomaly with the right subclavian artery originating from the dorsal part of the aortic arch and coursing through the mediastinum between the esophagus and the vertebral column. The diagnosis and treatment of this disorder is discussed based on the findings from the literature.

摘要

简介

在本报告中，我们介绍了一位因异常右锁骨下动脉而出现吞咽困难的患者。

讨论

这是一种先天性异常，右锁骨下动脉起源于主动脉弓的背侧部分，并穿过食管和脊柱之间的纵隔。根据文献中的发现，对该疾病的诊断和治疗进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/41843c96e50d/11605_2009_947_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/c2f44153ea6e/11605_2009_947_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/7f180f02c5e6/11605_2009_947_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/83e5c3adc3dc/11605_2009_947_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/81993c8b5f46/11605_2009_947_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/37a2a8e0a1ac/11605_2009_947_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/41843c96e50d/11605_2009_947_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/c2f44153ea6e/11605_2009_947_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/7f180f02c5e6/11605_2009_947_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/83e5c3adc3dc/11605_2009_947_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/81993c8b5f46/11605_2009_947_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/37a2a8e0a1ac/11605_2009_947_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f5/2766464/41843c96e50d/11605_2009_947_Fig6_HTML.jpg

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引用本文的文献

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Right-sided aortic arch with aberrant left subclavian artery diagnosed in an infant with regurgitation.在一名患有反流的婴儿中诊断出右侧主动脉弓伴迷走左锁骨下动脉。
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本文引用的文献

1
Non-invasive imaging of aberrant right subclavian artery pathologies and aberrant right vertebral artery.异常右锁骨下动脉病变及异常右椎动脉的无创成像
Br J Radiol. 2009 Jan;82(973):73-8. doi: 10.1259/bjr/44929969. Epub 2008 Sep 15.
2
Dysphagia lusoria: a comprehensive review.先天性食管后右锁骨下动脉压迫综合征：综述
Dis Esophagus. 2007;20(6):455-60. doi: 10.1111/j.1442-2050.2007.00787.x.
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Dysphagia lusoria caused by an aberrant right subclavian artery.右锁骨下动脉异常导致的先天性咽下困难。
Tex Heart Inst J. 2004;31(2):168-71.
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Burckhard F. Kommerell and Kommerell's diverticulum.伯克哈德·F·科默雷尔与科默雷尔憩室
Tex Heart Inst J. 2002;29(2):109-12.
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Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy.先天性咽下困难：临床特征、测压结果、诊断及治疗
Am J Gastroenterol. 2000 Jun;95(6):1411-6. doi: 10.1111/j.1572-0241.2000.02071.x.
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Aberrant subclavian artery: surgical treatment in thirty-three adult patients.异常锁骨下动脉：33例成年患者的外科治疗
J Vasc Surg. 1994 Jan;19(1):100-9; discussion 110-1. doi: 10.1016/s0741-5214(94)70125-3.
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Subclavian revascularization. A quarter century experience.锁骨下血管重建：25年的经验
Ann Surg. 1994 Jun;219(6):673-7; discussion 677-8. doi: 10.1097/00000658-199406000-00010.
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A berrant right subclavian artery. Clinical and roentgenologic aspects.迷走右锁骨下动脉。临床及放射学表现。
Am J Roentgenol Radium Ther Nucl Med. 1966 Jun;97(2):438-46. doi: 10.2214/ajr.97.2.438.
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David Bayford. His syndrome and sign of dysphagia lusoria.大卫·贝福德。他的综合征及迷走性吞咽困难体征。
Ann R Coll Surg Engl. 1979 Jan;61(1):63-7.
10
Aberrant subclavian artery (arteria lusoria): sex differences in the prevalence of various forms of the malformation. Evaluation of 1378 observations.迷走锁骨下动脉（椎动脉异常）：各种畸形形式患病率的性别差异。对1378例观察病例的评估。
Virchows Arch A Pathol Anat Histol. 1978 Dec 4;380(4):303-15. doi: 10.1007/BF00431315.