Unit of Vascular Surgery, Department of Cardiovascular and Thoracic Surgery, University of Messina, Italy.
J Cardiovasc Med (Hagerstown). 2010 May;11(5):394-7. doi: 10.2459/JCM.0b013e32833144af.
Giant isolated subclavian aneurysm is a rare disease. We report a case of a 66-year-old lady, with a proximal intrathoracic true aneurysm of the right subclavian artery. Due to the absence of a proximal neck, and for the relevant tortuosity of the vessels, we decided to approach the aneurysm through a median sternotomy. The aneurysm was excluded and opened. Then, we performed a direct subclavian-carotid transposition. The postoperative course was uneventful.
巨大孤立性锁骨下动脉瘤是一种罕见疾病。我们报告了一例 66 岁女性，右侧锁骨下动脉近段胸内真性动脉瘤。由于近端颈部缺失，且血管存在相关迂曲，我们决定经正中胸骨切开入路处理该动脉瘤。我们将动脉瘤切除并打开。随后，我们进行了直接锁骨下-颈动脉转位。术后过程顺利。
