Yamashiro Satoshi, Nagano Takaaki, Kuniyoshi Yukio, Kise Yuya, Maeda Tatsuya, Arakaki Ryoko
Thoracic and Cardiovascular Surgery Division, Ryukyu University Hospital, Nishihara, Okinawa, Japan.
Asian Cardiovasc Thorac Ann. 2012 Oct;20(5):587-90. doi: 10.1177/0218492312438740.
A right-sided aortic arch associated with an aberrant subclavian artery is a rare anomaly. Regardless, this condition is clinically relevant because mortality is associated with rupture, morbidity results from compression of mediastinal structures, and the surgery is complex. We describe the successful surgical repair of this vascular anomaly by totally debranching the neck vessels and placing an endovascular stent-graft to exclude the ruptured Kommerell's diverticulum.
右侧主动脉弓合并迷走锁骨下动脉是一种罕见的异常情况。尽管如此，这种情况在临床上具有重要意义，因为死亡率与破裂相关，发病率源于纵隔结构受压，并且手术复杂。我们描述了通过完全离断颈部血管并放置血管内支架移植物以排除破裂的Kommerell憩室来成功进行这种血管异常的手术修复。
