Jauch K W, Riel K A, Lauterjung L, Berger H
Chirurgische Klinik, Klinikum Grosshadern der Ludwig-Maximilians-Universität München.
Chirurg. 1988 Jun;59(6):418-24.
Aneurysms arising from an aberrant subclavian artery represent a seldom but dangerous condition, which can be treated successfully when appropriately diagnosed. From 37 patients described in the literature most presented a mediastinal mass and had symptoms like dysphagia, dyspnoe or chest pain. Diagnosis is today possible by contrast-enhanced computed tomography. The aneurysm should be resected to prevent lethal rupture. Left thoracotomy seems to be the appropriate approach in most cases. Reestablishment of blood flow to the right subclavian artery seems not necessary and may be done if ischemia develops in a second procedure by subclavian transposition to the common carotid artery. The case of a 74-year-old women who had resection of an aneurysm in an aberrant subclavian artery is described together with a review of the literature and discussion of the surgical management.
起源于异常锁骨下动脉的动脉瘤是一种少见但危险的疾病，若能得到恰当诊断，可成功治疗。文献报道的37例患者中，多数表现为纵隔肿块，并伴有吞咽困难、呼吸困难或胸痛等症状。如今，通过增强计算机断层扫描可进行诊断。应切除动脉瘤以防止致命性破裂。在大多数情况下，左胸切开术似乎是合适的手术方式。重建右锁骨下动脉的血流似乎没有必要，但若在二次手术中出现缺血情况，可通过将锁骨下动脉转位至颈总动脉来完成。本文描述了一名74岁女性切除异常锁骨下动脉动脉瘤的病例，并对相关文献进行了综述，同时讨论了手术治疗方法。
