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椎动脉迷走:食管手术中的一种危及生命的情况。

Vertebral arteria lusoria: a life-threatening condition for oesophageal surgery.

作者信息

Lacout Alexis, Khalil Antoine, Figl Andrea, Liloku Richard, Marcy Pierre-Yves

机构信息

Centre d'imagerie Médicale, 47, Boulevard du Pont Rouge, 15000 Aurillac, France.

出版信息

Surg Radiol Anat. 2012 May;34(4):381-3. doi: 10.1007/s00276-011-0867-x. Epub 2011 Sep 8.

Abstract

A rare anatomic variant of the right vertebral artery is reported as an incidental finding in a 78-year-old female patient. The vessel originated from the aortic arch distal to the origin of the left subclavian artery and presented an unusual retroesophageal course, thus was named "vertebral arteria lusoria". As multi-detector row computed tomography examination is now widely used, this anatomical variant should be considered in any patient undergoing esophageal surgery. Misdiagnosis of such an aberrant vertebral artery may cause life-threatening issues.

摘要

据报道,在一名78岁女性患者中偶然发现了一种罕见的右椎动脉解剖变异。该血管起源于左锁骨下动脉起始部远端的主动脉弓,并呈现出不寻常的食管后走行,因此被命名为“迷走椎动脉”。由于多排螺旋计算机断层扫描检查目前已广泛应用,在任何接受食管手术的患者中都应考虑到这种解剖变异。对这种异常椎动脉的误诊可能会导致危及生命的问题。

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