Debonnaire G, Verbist J, Peeters P
Department of Cardiovascular and Thoracic Surgery, Imelda hospital, Bonheiden, Belgium.
Acta Chir Belg. 2012 May-Jun;112(3):237-9.
Non-aneurysmatic aberrant right subclavian artery is a rare cause of dysphagia. We report a case of a 65-year-old female patient having a symptomatic lusorian artery. We reviewed literature as for indications and operative techniques for type I lusorian arteries. Different types of surgical approaches have been reported but there is no consensus to date. We performed a minimally invasive sternotomy with right cervicotomy. This surgical approach maximized our visibility resulting in a safe dissection, resection and reinsertion of the aberrant right subclavian artery. Postoperative morbidity was low.
非动脉瘤性迷走右锁骨下动脉是吞咽困难的罕见病因。我们报告一例65岁有症状的迷走动脉女性患者。我们回顾了关于I型迷走动脉的手术指征和手术技术的文献。已报道了不同类型的手术方法，但迄今为止尚无共识。我们采用了微创胸骨切开术联合右颈部切开术。这种手术方法最大限度地提高了视野，从而安全地游离、切除并重新植入了迷走右锁骨下动脉。术后发病率较低。
