Harris Donald G, Huffner Michael E, Croal-Abrahams Luqman, DiChiacchio Laura, Farivar Behzad S, Ayers Joseph D, Toursavadkohi Shahab, Rabin Joseph, Crawford Robert S
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Department of Surgery, Naval Medical Center San Diego, San Diego, CA.
Ann Vasc Surg. 2017 Jul;42:302.e15-302.e20. doi: 10.1016/j.avsg.2016.12.012. Epub 2017 Apr 6.
Blunt thoracic aortic injury (BTAI) in a patient with an aberrant right subclavian artery (ARSA) presents unique challenges for patient management and aortic repair. Specific considerations include the need to treat coincidental ARSA, subclavian revascularization, and ARSA exclusion. Despite the rise of endovascular repair as the primary modality for aortic repair for BTAI, reports of this technique in the setting of ARSA are limited. Here we describe 3 patients with ARSA who underwent TEVAR for BTAI, and discuss critical management and technical issues in these patients.
患有迷走右锁骨下动脉（ARSA）的患者发生钝性胸主动脉损伤（BTAI），给患者管理和主动脉修复带来了独特的挑战。具体考虑因素包括治疗合并存在的ARSA、锁骨下血管重建以及ARSA的排除。尽管血管内修复作为BTAI主动脉修复的主要方式有所增加，但在ARSA情况下该技术的报道有限。在此，我们描述了3例因BTAI接受胸主动脉腔内修复术（TEVAR）的ARSA患者，并讨论了这些患者的关键管理和技术问题。
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