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[合并迷走右锁骨下动脉的主动脉弓动脉瘤的外科治疗]

[Surgical treatment of aortic arch aneurysm associated with the aberrant right subclavian artery].

作者信息

Matsuda K, Kiyota Y, Tamura N, Takahashi M, Miki H, Suzuki H, Nakagawa Y, Satou Y, Noda M, Nakamura T

机构信息

Department of Cardiovascular Surgery, Hamamatsu Rosai Hospital.

出版信息

Kyobu Geka. 1990 May;43(5):389-91.

PMID:2374317
Abstract

A 64-year-old man, who had an aneurysm of aortic arch associated with the aberrant right subclavian artery, was treated successfully. He was pointed out to have an aneurysm of aortic arch three years ago. Three years later angiograms and computed tomography revealed that it became larger compared with the initial finding. He underwent a replacement of the aortic arch using a woven Dacron graft under open distal method. Aberrant subclavian artery was not involved in the aneurysm. But because the left subclavian artery was involved in it, a woven Dacron graft was interposed between the ascending aorta and left subclavian artery. Postoperative course was uneventful and there were no complications.

摘要

一名64岁男性,患有主动脉弓动脉瘤并伴有迷走右锁骨下动脉,接受了成功治疗。他三年前被指出患有主动脉弓动脉瘤。三年后,血管造影和计算机断层扫描显示,与最初的检查结果相比,动脉瘤变大了。他在开放远端法下使用编织涤纶移植物进行了主动脉弓置换。迷走锁骨下动脉未累及动脉瘤。但由于左锁骨下动脉受累,在升主动脉和左锁骨下动脉之间置入了编织涤纶移植物。术后过程顺利,无并发症。

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