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一种治疗迷走右锁骨下动脉所致吞咽困难的新方法。

A novel method for the treatment of dysphagia lusoria due to aberrant right subclavian artery.

作者信息

Fukuhara Shinichi, Patton Byron, Yun Jaime, Bernik Thomas

机构信息

Divisions of Vascular and Thoracic Surgery, Department of Surgery, Beth Israel Medical Center, New York, NY, USA.

出版信息

Interact Cardiovasc Thorac Surg. 2013 Mar;16(3):408-10. doi: 10.1093/icvts/ivs517. Epub 2012 Dec 12.

DOI:10.1093/icvts/ivs517
PMID:23243037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3568821/
Abstract

Dysphagia lusoria occurs secondary to an aberrant right subclavian artery coursing posterior to the oesophagus. Open ligation and transposition to the right carotid artery via a right supraclavicular approach has been described as a minimally invasive method. However, approaching the origin of the aberrant right subclavian artery through this incision can be extremely challenging. A persistent aberrant right subclavian artery stump may account for postoperative residual dysphagia. This article describes a safe, effective and reproducible surgical approach to dysphagia lusoria due to a non-aneurysmal aberrant right subclavian artery.

摘要

迷走右锁骨下动脉压迫综合征继发于异常的右锁骨下动脉走行于食管后方。通过右锁骨上入路进行开放结扎并将其转位至右颈动脉已被描述为一种微创方法。然而，通过该切口接近异常右锁骨下动脉的起源极具挑战性。持续存在的异常右锁骨下动脉残端可能是术后残留吞咽困难的原因。本文描述了一种针对非动脉瘤性异常右锁骨下动脉所致迷走右锁骨下动脉压迫综合征的安全、有效且可重复的手术方法。

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