Motoki Manabu, Fukui Toshihiro, Shibata Toshihiko, Sasaki Yasuyuki, Hirai Hidekazu, Takahashi Yosuke, Suehiro Shigefumi
Department of Cardiovascular Surgery, Osaka City University, Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan.
Osaka City Med J. 2010 Jun;56(1):1-4.
A subclavian artery aneurysm is relatively rare in comparison with other peripheral aneurysms. Surgical repair should be considered regardless of size and location, because thromboembolism or rupture can occur when a small aneurysm is untreated. We describe the management and surgical treatment in a patient with a right subclavian artery aneurysm. Surgical repair included the ligation of the right vertebral artery and reconstruction of the subclavian artery through an upper partial median sternotomy with right supraclavicular extension. Successful repair of the aneurysm was accomplished and the patient's postoperative course was uneventful with no medication.
与其他周围动脉瘤相比，锁骨下动脉瘤相对少见。无论动脉瘤的大小和位置如何，均应考虑手术修复，因为小动脉瘤若不治疗可能会发生血栓栓塞或破裂。我们描述了一例右锁骨下动脉瘤患者的处理和手术治疗情况。手术修复包括结扎右椎动脉，并通过向上延伸至右侧锁骨上的部分正中胸骨切开术重建锁骨下动脉。动脉瘤成功修复，患者术后恢复顺利，无需用药。
