Jebara V A, Arnaud-Crozat E, Angel F, Dreyfus G, Corbi P, Acar C, Chachques J C, Fiabani J N, Carpentier A
Service de Chirurgie Cardiovasculaire, Hôpital Broussais, Paris, France.
Ann Vasc Surg. 1989 Jan;3(1):68-73. doi: 10.1016/S0890-5096(06)62387-X.
Aneurysms of an aberrant subclavian artery are rare. They are usually secondary to atherosclerosis. Dysphagia is the most common presenting symptom. The diagnosis of these lesions is most easily established by CT scan. Biplane arteriography is necessary in order to clearly analyze the aortic arch and its branches. Surgical resection is usually indicated. Numerous procedures have been proposed to treat these lesions and controversy exists concerning the best surgical technique. We treated a patient who suffered from an aneurysm of an aberrant subclavian artery. The surgical technique is detailed as well as a review of all the cases of the literature.
异常锁骨下动脉动脉瘤罕见。它们通常继发于动脉粥样硬化。吞咽困难是最常见的症状。这些病变最容易通过CT扫描确诊。为了清晰分析主动脉弓及其分支，需要进行双平面动脉造影。通常需要进行手术切除。已经提出了许多治疗这些病变的方法，关于最佳手术技术存在争议。我们治疗了一名患有异常锁骨下动脉动脉瘤的患者。详细介绍了手术技术以及对文献中所有病例的综述。
