Nishimoto Takayuki, Bonkohara Yukihiro, Murakami Hironori
Department of Cardiovascular Surgery, Yokohama Medical Center, Yokohama, Japan.
Kyobu Geka. 2019 Feb;72(2):153-155.
Anomalous retroaortic left brachiocephalic vein( ARLBV) is a rare vascular abnormaly, usually asossiated with congenital heart diseases. We present a very rare case of Stanford type A acute aortic dissection associated with ARLBV. A 70-year-old man was referred to our hospital complaining of worsening back pain and chest pain. Computed tomographic angiogram showed Stanford type A acute aortic dissection from the ascending aorta to the distal abdominal aorta. Furthermore, systemic venous anomalies were revealed. The left brachiocephalic vein coursed the left side of the aortic arch, anterior to the central pulmonary artery, and posterior to the ascending aorta, and joined the right brachiocephalic vein. Replacement of the ascending aorta was performed in an emergency, and the postoperative course was uneventful.
主动脉后左头臂静脉异常（ARLBV）是一种罕见的血管异常，通常与先天性心脏病相关。我们报告了一例极为罕见的与ARLBV相关的A型斯坦福急性主动脉夹层病例。一名70岁男性因背痛和胸痛加重被转诊至我院。计算机断层血管造影显示为从升主动脉至腹主动脉远端的A型斯坦福急性主动脉夹层。此外，还发现了体静脉异常。左头臂静脉走行于主动脉弓左侧、中央肺动脉前方及升主动脉后方，并与右头臂静脉汇合。急诊行升主动脉置换术，术后病程顺利。
