异常锁骨下动脉：一种旧疾病的新面貌。
Aberrant subclavian: new face of an old disease.
作者信息
Jahangeer Saleem, Bashir Mohamad, Harky Amer, Yap John
机构信息
Department of Cardiac Surgery, Barts Heart Centre, St Bartholomew's Hospital, West Smithfield, London, UK.
School of Medicine, Cardiff University, Cardiff, UK.
出版信息
J Vis Surg. 2018 May 22;4:108. doi: 10.21037/jovs.2018.05.11. eCollection 2018.
Abstract
An aneurysm of an aberrant subclavian artery is un usual prevalence of anomalies of aortic arch, with a literature reported prevalence of 2%. Timely elective intervention is of paramount. The advancement in stenting techniques has promoted this practice to be an alternative to conventional open surgical repair which is associated with high rates of perioperative complications including mortality outcomes. However, new faces of this old disease are emerging as we move to novelty and innovation era. We discuss in this review the advancements in this disease entity highlighting and collecting the world experiences.
摘要
异常锁骨下动脉动脉瘤是主动脉弓异常中较为少见的情况，文献报道其患病率为2%。及时进行择期干预至关重要。支架技术的进步促使这种治疗方法成为传统开放手术修复的替代方案，传统开放手术与包括死亡结局在内的围手术期并发症发生率较高相关。然而，随着我们进入创新时代，这种古老疾病出现了新情况。在本综述中，我们将讨论该疾病实体的进展，突出并收集全球经验。
相似文献
1
Aberrant subclavian: new face of an old disease.异常锁骨下动脉：一种旧疾病的新面貌。
J Vis Surg. 2018 May 22;4:108. doi: 10.21037/jovs.2018.05.11. eCollection 2018.
2
A Rare Entity: Traumatic Thoracic Aortic Injury in a Patient with Aberrant Right Subclavian Artery.一个罕见病例：一名右锁骨下动脉异常患者的创伤性胸主动脉损伤
Ann Vasc Surg. 2017 May;41:280.e1-280.e5. doi: 10.1016/j.avsg.2016.09.031. Epub 2017 Feb 24.
3
Hybrid repair of a ruptured right-sided aortic arch with an aberrant left subclavian artery arising from a diverticulum of Kommerell: a case report.杂交修复右侧主动脉弓破裂并伴有起源于Kommerell憩室的异常左锁骨下动脉：一例报告
World J Pediatr Congenit Heart Surg. 2014 Oct;5(4):623-6. doi: 10.1177/2150135114544754.
4
Hybrid endovascular repair for an arch aneurysm combined with aberrant right subclavian artery.
Ann Vasc Dis. 2015;8(1):59-61. doi: 10.3400/avd.cr.14-00123. Epub 2015 Mar 25.
5
Distal Arch Aneurysm Repair Using Left Subclavian Artery Transposition With Stented Elephant Trunk in the Hybrid Repair Era.杂交修复时代使用带支架象鼻的左锁骨下动脉转位术修复远端主动脉弓动脉瘤
Heart Lung Circ. 2019 May;28(5):814-819. doi: 10.1016/j.hlc.2018.03.014. Epub 2018 Mar 27.
6
Two-Stage Hybrid Repair in a Patient with Acute Type A Aortic Dissection Associated with Right Aortic Arch with Aberrant Left Subclavian Artery Originating from a Kommerell Diverticulum.两阶段杂交修复术治疗1例急性A型主动脉夹层合并右位主动脉弓及起源于Kommerell憩室的迷走左锁骨下动脉患者。
Ann Vasc Dis. 2016;9(3):223-227. doi: 10.3400/avd.cr.16-00013. Epub 2016 Jul 26.
7
Intrathoracic subclavian artery aneurysm repair in the thoracic endovascular aortic repair era.胸主动脉腔内修复时代的胸内锁骨下动脉动脉瘤修复。
J Vasc Surg. 2013 Apr;57(4):915-25. doi: 10.1016/j.jvs.2012.09.074. Epub 2013 Jan 30.
8
Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm.采用杂交血管内治疗异常右锁骨下动脉合并Kommerell动脉瘤。
Vascular. 2014 Dec;22(6):458-63. doi: 10.1177/1708538113518531. Epub 2014 Feb 3.
9
Hybrid intervention for type A aortic arch interruption and a giant subclavian artery aneurysm in an adult.成人A型主动脉弓中断合并巨大锁骨下动脉瘤的杂交介入治疗
Cardiol Young. 2016 Jun;26(5):993-5. doi: 10.1017/S1047951116000032. Epub 2016 Apr 13.
10
A 10-Year Experience Using a Hybrid Endovascular Approach to Treat Aberrant Subclavian Arterial Aneurysms.采用杂交血管内介入方法治疗迷走锁骨下动脉瘤的10年经验
Ann Vasc Surg. 2018 Jan;46:60-64. doi: 10.1016/j.avsg.2017.03.174. Epub 2017 May 4.
引用本文的文献
1
Early outcomes of robotic management of aberrant subclavian artery.异常锁骨下动脉机器人手术治疗的早期结果
JTCVS Tech. 2025 May 15;32:201-208. doi: 10.1016/j.xjtc.2025.04.026. eCollection 2025 Aug.
2
Conservative Management of Aberrant Right Subclavian Artery (Arteria Lusoria): A Case Report and Literature Review.迷走右锁骨下动脉（卢氏动脉）的保守治疗：一例报告及文献综述
Cureus. 2025 Apr 19;17(4):e82608. doi: 10.7759/cureus.82608. eCollection 2025 Apr.
3
Outcomes in the treatment of aberrant subclavian arteries using the hybrid approach.杂交技术治疗异常锁骨下动脉的结果。
Interact Cardiovasc Thorac Surg. 2022 Oct 10;35(5). doi: 10.1093/icvts/ivac230.
4
Caught in a vice.陷入困境。
Indian J Thorac Cardiovasc Surg. 2022 Jul;38(4):438-441. doi: 10.1007/s12055-022-01348-9. Epub 2022 Apr 7.
5
Use of the frozen elephant trunk technique for type B aortic dissection and aberrant right subclavian artery: an anatomic repair of the "arteria lusoria".冷冻象鼻技术在B型主动脉夹层和迷走右锁骨下动脉中的应用：“迷走动脉”的解剖修复。
Ann Cardiothorac Surg. 2020 May;9(3):254-256. doi: 10.21037/acs.2020.03.15.
本文引用的文献
1
Hybrid management of a ruptured right subclavian artery aneurysm dissection.右锁骨下动脉动脉瘤破裂夹层的混合治疗
J Vasc Surg Cases Innov Tech. 2017 Oct 9;3(4):198-200. doi: 10.1016/j.jvscit.2017.03.003. eCollection 2017 Dec.
2
Prenatal diagnosis of aberrant right subclavian artery in an unselected population.未选择人群中异常右锁骨下动脉的产前诊断。
Ultrasonography. 2017 Jul;36(3):278-283. doi: 10.14366/usg.16046. Epub 2017 Feb 20.
3
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.
4
Second-trimester fetal aberrant right subclavian artery: original study, systematic review and meta-analysis of performance in detection of Down syndrome.孕中期胎儿迷走右锁骨下动脉：唐氏综合征检测性能的原始研究、系统评价和荟萃分析
Ultrasound Obstet Gynecol. 2014 Aug;44(2):147-53. doi: 10.1002/uog.13336.
5
Hybrid techniques for complex aortic arch surgery.复杂主动脉弓手术的杂交技术。
Tex Heart Inst J. 2013;40(5):568-71.
6
Diagnosis of congenital aortic arch anomalies in chinese children by multi-detector computed tomography angiography.多层螺旋CT血管造影术诊断中国儿童先天性主动脉弓畸形
J Huazhong Univ Sci Technolog Med Sci. 2013 Jun;33(3):447-451. doi: 10.1007/s11596-013-1140-9. Epub 2013 Jun 17.
7
Fully percutaneous treatment of an aberrant right subclavian artery and thoracic aortic aneurysm.经皮完全治疗异常右锁骨下动脉和胸主动脉瘤。
Vasc Med. 2013 Jun;18(3):139-44. doi: 10.1177/1358863X13485985.
8
Dysphagia lusoria: a case of an aberrant right subclavian artery and a bicarotid trunk.迷走性吞咽困难：一例异常右锁骨下动脉和双颈动脉干病例
ISRN Surg. 2011;2011:819295. doi: 10.5402/2011/819295. Epub 2011 Apr 4.
9
Fetal aberrant right subclavian artery (ARSA) - a potential new soft marker in the genetic scan?胎儿右锁骨下动脉异常（ARSA）- 基因扫描中的一个新的潜在软指标？
Ultraschall Med. 2012 Dec;33(7):E114-E118. doi: 10.1055/s-0029-1245935. Epub 2011 May 25.
10
Associated anomalies and outcome of fetal aberrant right subclavian artery.胎儿异常右锁骨下动脉的相关异常和结局。
Arch Gynecol Obstet. 2012 Jan;285(1):27-30. doi: 10.1007/s00404-011-1907-9. Epub 2011 Apr 13.
Zotero 插件