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一例右锁骨下动脉粥样硬化性动脉瘤伴右腋动脉狭窄及升主动脉增粗。

A case of atherosclerotic aneurysm of the right subclavian artery with the right axillary arterial stenosis and enlargement of the ascending aorta.

作者信息

Iida Mitsuru, Hata Hiroaki, Kimura Haruka

机构信息

Division of Cardiovascular Surgery, Okaya Enrei Hospital, Okaya, Nagano, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2011;17(6):599-602. doi: 10.5761/atcs.cr.10.01607. Epub 2011 Jul 27.

Abstract

A 54-year-old man presented with neck pain and hoarseness. Angiography showed a rare right subclavian artery aneurysm, enlargement of the ascending aortic aneurysm, and axillary artery stenosis. These aneurysms would normally be treated with end-to-end anastomosis, but due to the complexity of the lesion in this case, we performed more extensive surgery. This consisted of successful reconstruction of the subclavian artery and replacement of the ascending aorta and aortic arch.

摘要

一名54岁男性因颈部疼痛和声音嘶哑就诊。血管造影显示右锁骨下动脉动脉瘤罕见,升主动脉瘤增大,腋动脉狭窄。这些动脉瘤通常采用端端吻合术治疗,但鉴于该病例病变复杂,我们进行了更广泛的手术。手术包括成功重建锁骨下动脉以及置换升主动脉和主动脉弓。

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