一名成年人的双主动脉弓。
Double aortic arch in an adult.
作者信息
Noguchi Kenichiro, Hori Daijiro, Nomura Yohei, Tanaka Hiroyuki
机构信息
Department of Cardiovascular Surgery, Fujigaoka Hospital Showa University, Yokohama city, Kanagawa, Japan.
出版信息
Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):900-2. doi: 10.1093/icvts/ivs060. Epub 2012 Feb 28.
We present the case of a 60-year old man who complained of severe dysphagia caused by a double aortic arch (DAA) with a right-sided descending thoracic aorta. The left-sided aortic arch had a compressive segment located between the left subclavian artery and the descending thoracic aorta. Using left third thoracotomy, the segment, which caused compression of the oesophagus, was ligated and divided. After the operation, the patient was completely relieved of his symptoms. We concluded that the removal of the compressive portion of the left aortic arch and the ligation of the ligamentum arteriosum are the only treatment measures needed in such cases.
我们报告一例60岁男性患者，其因右侧胸降主动脉的双主动脉弓（DAA）导致严重吞咽困难。左侧主动脉弓有一个压迫段，位于左锁骨下动脉和胸降主动脉之间。采用左胸第三切口，结扎并切断压迫食管的部分。术后，患者症状完全缓解。我们得出结论，在这种情况下，切除左主动脉弓的压迫部分并结扎动脉韧带是唯一需要的治疗措施。
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