Ktenidis Kiriakos, Lioupis Athanasios, Giannopoulos Argirios, Ginis George, Kiskinis Dimitrios
First Department of Surgery and Vascular Surgery, Papageorgiou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Ann Vasc Surg. 2012 Apr;26(3):421.e1-5. doi: 10.1016/j.avsg.2011.05.041. Epub 2012 Jan 30.
To present an unusual case of blunt aortic injury in a 30-year-old male patient with an aberrant right subclavian artery.
Driven by the complicated and challenging nature of the case, we decided to treat the patient by a combined approach-right subclavian artery transposition and endograft implantation at the isthmus level. During the 24-month follow-up (clinical examination, angiogram, computed tomographic scan), we registered no complaints; normal perfusion of the right arm; and adequate sealing of the aortic tear.
We believe that the hybrid management of such trauma is a feasible, effective, and less-invasive option.
介绍一名30岁男性患者，患有迷走右锁骨下动脉，发生钝性主动脉损伤的罕见病例。
鉴于该病例复杂且具有挑战性，我们决定采用联合方法治疗该患者——右锁骨下动脉转位术及峡部水平的腔内移植物植入术。在24个月的随访期间（临床检查、血管造影、计算机断层扫描），我们未收到任何不适主诉；右臂灌注正常；主动脉撕裂处封堵良好。
我们认为，对此类创伤采用混合治疗是一种可行、有效且侵入性较小的选择。
