Rathnakar Rithin, Agarwal Saket, Datt Vishnu, Satsangi Deepak K
Department of CTVS, GB Pant Hospital, New Delhi, India.
Department of Cardiac Anesthesia, GB Pant Hospital, New Delhi, India.
Ann Pediatr Cardiol. 2014 Jan;7(1):58-60. doi: 10.4103/0974-2069.126562.
An aberrant right subclavian artery from the descending aorta is almost always reported as an isolated anomaly. We present the case of a four-year-old child with an anomalous origin of the right subclavian artery from the descending aorta, associated with an ostium secundum atrial septal defect. The patient underwent simultaneous repair of both the anomalies through median sternotomy, with implantation of the subclavian artery into the right common carotid artery. We believe that median sternotomy is the optimal surgical approach for the management of these lesions. Other operative approaches are also discussed.
降主动脉发出的迷走右锁骨下动脉几乎总是被报告为一种孤立的异常情况。我们报告一例4岁儿童，其右锁骨下动脉起源于降主动脉异常，并伴有继发孔型房间隔缺损。该患者通过正中胸骨切开术同时修复了这两种异常，将锁骨下动脉植入右颈总动脉。我们认为正中胸骨切开术是治疗这些病变的最佳手术方法。还讨论了其他手术方法。
