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迷走动脉的临床讨论:一例报告

Clinical discussion of the arteria lusoria: a case report.

作者信息

Leite Tulio Fabiano de Oliveira, Pires Lucas Alves Sarmento, Cisne Rafael, Babinski Marcio Antonio, Chagas Carlos Alberto Araujo

机构信息

Universidade de São Paulo - USP, Faculty of Medicina, Interventional Radiology, São Paulo, SP, Brazil.

Universidade Federal Fluminense - UFF, Medical Sciences Post Graduation Program, Niterói, RJ, Brazil.

出版信息

J Vasc Bras. 2017 Oct-Dec;16(4):339-342. doi: 10.1590/1677-5449.007617.

DOI:10.1590/1677-5449.007617
PMID:29930671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5944314/
Abstract

The right subclavian artery may originate from the left portion of the aortic arch. This aberrant vessel is known as the arteria lusoria. Its course to its usual site runs behind the esophagus, which may cause a disease known as dysphagia lusoria, responsible for symptoms of discomfort. This artery is often associated with other anomalies, such as the non-recurrent laryngeal nerve and the bicarotid trunk, and with diseases such as aneurysms, congenital heart defects, and even genetic syndromes. During routine dissection of a male cadaver fixed in 10% formalin solution, an arteria lusoria was found. This article reports the variation and discusses its embryological, clinical and surgical aspects.

摘要

右锁骨下动脉可能起源于主动脉弓的左侧部分。这种异常血管被称为迷走动脉。它到达其正常位置的走行位于食管后方,这可能导致一种称为迷走动脉性吞咽困难的疾病,引发不适症状。这条动脉常与其他异常情况相关,如非返喉神经和双颈动脉干,还与诸如动脉瘤、先天性心脏缺陷甚至遗传综合征等疾病有关。在对一具固定于10%福尔马林溶液中的男性尸体进行常规解剖时,发现了一条迷走动脉。本文报告了这种变异情况,并讨论了其胚胎学、临床和手术方面的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd24/5944314/bcbe187bda29/jvb-16-04-339-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd24/5944314/e57cfb274077/jvb-16-04-339-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd24/5944314/bcbe187bda29/jvb-16-04-339-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd24/5944314/e57cfb274077/jvb-16-04-339-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd24/5944314/bcbe187bda29/jvb-16-04-339-g02.jpg

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引用本文的文献

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Arteria Lusoria: An Unusual Cause of Dysphagia.
Cureus. 2025 Mar 24;17(3):e81092. doi: 10.7759/cureus.81092. eCollection 2025 Mar.
2
Morphological Aspects of the Aberrant Right Subclavian Artery-A Systematic Review of the Literature.异常右锁骨下动脉的形态学研究——文献系统综述
J Pers Med. 2024 Mar 22;14(4):335. doi: 10.3390/jpm14040335.
3
Arteria lusoria with patent foramen ovale: clinical and embryological significance with literature review.奇静脉伴卵圆孔未闭:临床和胚胎学意义并文献复习。

本文引用的文献

1
Anatomical Variations in Aortic Arch Branching Pattern.主动脉弓分支模式的解剖变异
Arch Iran Med. 2016 Jan;19(1):72-4.
2
Aberrant right retroesophageal subclavian artery causing esophageal compression.异常右锁骨下动脉走行于食管后方导致食管受压。
Clin Case Rep. 2015 Oct;3(10):897-8. doi: 10.1002/ccr3.351. Epub 2015 Aug 27.
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Beware of arteria lusoria during lymph node dissection of the right paratracheal fossa for lung cancer surgery.在肺癌手术的右气管旁窝淋巴结清扫过程中,要警惕迷走动脉。
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Aberrant right subclavian artery: case report and literature review.迷走右锁骨下动脉:病例报告及文献综述
J Vasc Bras. 2023 Feb 20;22:e20210151. doi: 10.1590/1677-5449.202101512. eCollection 2023.
5
Truncus Bicaroticus With Arteria Lusoria: A Rare Combination of Aortic Root Anatomy Complicating Cardiac Catheterization.双颈动脉干合并迷走动脉:一种罕见的主动脉根部解剖结构组合,使心脏导管插入术复杂化
Fed Pract. 2021 Feb;38(2):84-88. doi: 10.12788/fp.0089.
6
Aberrant Right Subclavian Artery with a Bicarotid Trunk: The Importance of Diagnosing This Rare Incidental Anomaly.
Cureus. 2019 Nov 8;11(11):e6094. doi: 10.7759/cureus.6094.
7
Coexistence an aberrant right subclavian artery with other congenital anomalies: case report and review of the literature.异常右锁骨下动脉与其他先天性异常并存:病例报告及文献复习
Surg Radiol Anat. 2019 Aug;41(8):963-967. doi: 10.1007/s00276-019-02206-x. Epub 2019 Feb 8.
J Thorac Dis. 2014 Dec;6(12):E264-6. doi: 10.3978/j.issn.2072-1439.2014.11.12.
4
Treatment of symptomatic aberrant subclavian arteries.治疗症状性异常锁骨下动脉。
Eur J Vasc Endovasc Surg. 2014 Nov;48(5):521-6. doi: 10.1016/j.ejvs.2014.06.040. Epub 2014 Aug 21.
5
The aberrant right subclavian artery (arteria lusoria): the morphological and clinical aspects of one of the most important variations--a systematic study of 141 reports.迷走右锁骨下动脉(lusoria动脉):最重要变异之一的形态学和临床方面——对141篇报告的系统研究
ScientificWorldJournal. 2014;2014:292734. doi: 10.1155/2014/292734. Epub 2014 Jul 1.
6
Lusoria flap for the management of aortic coarctation in an eight-year-old child.用于治疗一名8岁儿童主动脉缩窄的卢氏瓣
World J Pediatr Congenit Heart Surg. 2013 Jul;4(3):302-4. doi: 10.1177/2150135113480531.
7
Aneurysm of the aberrant right subclavian artery - a case report.迷走右锁骨下动脉动脉瘤——病例报告
Pol J Radiol. 2010 Oct;75(4):47-50.
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Aberrant right subclavian artery or arteria lusoria: a rare cause of dyspnea in children.迷走右锁骨下动脉或异常锁骨下动脉:儿童呼吸困难的罕见原因。
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A schematic diagram showing the various components of the embryonic aortic arch complex in the retroesophageal right subclavian artery.一幅示意图,展示了食管后右锁骨下动脉中胚胎主动脉弓复合体的各个组成部分。
Anat Sci Int. 2011 Sep;86(3):135-45. doi: 10.1007/s12565-010-0101-7. Epub 2011 Jan 19.
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A non-recurrent inferior laryngeal nerve in a man undergoing thyroidectomy: a case report.一名接受甲状腺切除术男性患者的非复发性喉返神经:病例报告
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