右位主动脉弓合并Kommerell憩室的外科治疗
Surgical treatment for right aortic arch with Kommerell's diverticulum.
作者信息
Ishikawa Noboru, Oi Masaya, Maruta Kazuto, Iizuka Hirofumi, Kawaura Hiroyuki
机构信息
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Showa University, Tokyo, Japan.
出版信息
Asian Cardiovasc Thorac Ann. 2013 Dec;21(6):724-6. doi: 10.1177/0218492312463569. Epub 2013 Jul 9.
Kommerell's diverticulum causes compression of the esophagus between the aberrant origin of the left subclavian artery and ascending aorta, leading to dysphagia or dyspnea. We describe 3 cases of successful surgical treatment of right aortic arch with Kommerell's diverticulum and aberrant origin of the left subclavian artery, using a right anterolateral partial sternotomy. This allows both resection of the Kommerell's diverticulum as well as reconstruction of the aberrant origin of the left subclavian artery anatomically.
科默雷尔憩室可导致左锁骨下动脉异常起源与升主动脉之间对食管造成压迫，从而引起吞咽困难或呼吸困难。我们描述了3例采用右前外侧部分胸骨切开术成功手术治疗右位主动脉弓合并科默雷尔憩室及左锁骨下动脉异常起源的病例。这既能切除科默雷尔憩室，又能在解剖学上重建左锁骨下动脉的异常起源。
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