Mrochek Alexander Gennadievich, Kabak Sergey Lvovich, Haidzel Iryna Kazimirovna, Melnichenko Yuliya Michailovna, Kalenchic Tamara Ivanovna
Republican Scientific and Practical Centre "Cardiology", Minsk, Belarus.
Human Morphology Department, Belarusian State Medical University, Minsk, Belarus.
Surg Radiol Anat. 2019 Aug;41(8):963-967. doi: 10.1007/s00276-019-02206-x. Epub 2019 Feb 8.
Aberrant right subclavian artery is the most common aortic arch anomaly that frequently occurs in coexistence with other congenital cardiovascular anomalies. A 32-year-old male patient was hospitalized with ventricular septal defect, chronic heart failure NYHA class III, pulmonary arterial hypertension. Contrast-enhanced multislice computed tomography revealed membranous ventricular septal defect, persistent left superior vena cava, bicuspid aortic valve and aberrant right subclavian artery. Aberrant right subclavian artery was clinically silent and discovered accidentally. The patient underwent heart-lung transplantation due to pronounced, irreversible pulmonary hypertension. This article reports a rare coexistence of aberrant right subclavian artery with other congenital anomalies of the heart and great vessels in living men.
异常右锁骨下动脉是最常见的主动脉弓异常，常与其他先天性心血管异常并存。一名32岁男性患者因室间隔缺损、纽约心脏协会（NYHA）III级慢性心力衰竭、肺动脉高压入院。对比增强多层计算机断层扫描显示膜周部室间隔缺损、永存左上腔静脉、二叶式主动脉瓣和异常右锁骨下动脉。异常右锁骨下动脉在临床上无明显症状，是偶然发现的。由于严重的、不可逆的肺动脉高压，该患者接受了心肺移植。本文报道了一名在世男性中异常右锁骨下动脉与其他心脏和大血管先天性异常罕见并存的病例。
