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右锁骨下动脉异常动脉瘤合并颈总干复杂病例的一期手术修复

Single-stage surgical repair in a complex case of aberrant right subclavian artery aneurysm and common carotid trunk.

作者信息

Kokotsakis Ioannis, Harling Leanne, Anagnostakou Vania, Tassopoulos Dimitris, Charitos Christos, Ashrafian Hutan, Athanasiou Thanos

机构信息

Department of Cardiac Surgery, Evangelismos General Hospital Athens, Athens, Greece.

出版信息

J Cardiothorac Surg. 2013 Apr 25;8:112. doi: 10.1186/1749-8090-8-112.

DOI:10.1186/1749-8090-8-112
PMID:23618166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3646667/
Abstract

Aberrant right subclavian artery with coexisting common carotid trunk is an extremely rare congenital anomaly affecting <0.1% of the population. We report the case of a 77-year-old Caucasian man presenting with dysphagia and dyspnea secondary to an aberrant right subclavian artery aneurysm and describe our technique for open surgical repair.

摘要

异常右锁骨下动脉合并共同颈动脉干是一种极其罕见的先天性异常，影响不到0.1%的人群。我们报告了一例77岁白种男性患者，因异常右锁骨下动脉瘤出现吞咽困难和呼吸困难，并描述了我们的开放手术修复技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/3646667/14d459198045/1749-8090-8-112-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/3646667/7ecd1cc22196/1749-8090-8-112-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/3646667/f3617d8a9122/1749-8090-8-112-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/3646667/14d459198045/1749-8090-8-112-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/3646667/7ecd1cc22196/1749-8090-8-112-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/3646667/f3617d8a9122/1749-8090-8-112-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/3646667/14d459198045/1749-8090-8-112-3.jpg

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本文引用的文献

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Surgical treatment of Kommerell's diverticulum and other saccular arch aneurysms.Kommerell 憩室及其他囊状弓部动脉瘤的外科治疗。
J Vasc Surg. 2013 Apr;57(4):951-4. doi: 10.1016/j.jvs.2012.10.094. Epub 2013 Jan 17.
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Aberrant subclavian artery pathologies and Kommerell's diverticulum: a review and analysis of published endovascular/hybrid treatment options.异常锁骨下动脉病变和 Kommerell 憩室：已发表的血管内/杂交治疗选择的回顾与分析。
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Contemporary management of aberrant right subclavian arteries.
异常右锁骨下动脉的当代管理
Ann Vasc Surg. 2011 May;25(4):508-14. doi: 10.1016/j.avsg.2011.02.012.
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Aneurysm of an aberrant right subclavian artery: treatment with thoracic aortic stent graft.异常右锁骨下动脉瘤：胸主动脉支架移植治疗。
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Aberrant right subclavian artery aneurysm in coexistence with a common carotid trunk.
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Aberrant subclavian artery and Kommerell aneurysm: surgical treatment with a standard approach.异常锁骨下动脉和科默雷尔动脉瘤：标准入路的手术治疗
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MR angiography in diagnosis of aberrant right subclavian artery associated with common carotid trunk.磁共振血管造影在诊断与颈总干相关的迷走右锁骨下动脉中的应用
Eur Radiol. 2000;10(9):1503. doi: 10.1007/s003300000335.