右位主动脉弓伴迷走左锁骨下动脉及主动脉缩窄，包括降主动脉瘤。
Right aortic arch with an aberrant left subclavian artery and aortic coarctation including a descending aortic aneurysm.
作者信息
Sabol Frantisek, Candik Peter, Kolesar Adrian, Toporcer Tomas
机构信息
Clinic of Cadiac Surgery, Medical Faculty of P.J.Safarik University and Eastern Slovak Institute for Cardiovascular Diseases Ltd, Kosice, Slovakia.
Clinic of Anaesthesiology and Intensive Medicine, Medical Faculty of P.J.Safarik University and Eastern Slovak Institute for Cardiovascular Diseases Ltd, Ondavska 8, 040 01, Kosice, Slovakia.
出版信息
J Cardiothorac Surg. 2019 Apr 2;14(1):65. doi: 10.1186/s13019-019-0878-y.
BACKROUND
The right aortic arch and aortic coarctation are rare congenital anomalies with the incidence of 0.1% and 0.03-0.04%. We present a case report of a 51-year-old woman with the right aortic arch with aberrant left subclavian artery and coarctation of the aorta with post-stenotic aneurysm.
CASE PRESENTATION
Resection of the coarctation and aneurysm with replacement by tubular prosthesis was performed on partial cardiopulmonary bypass via femoral vessels.
CONCLUSION
Partial cardiopulmonary bypass is an applicable method for ensuring the perfusion of the distal part of the body and an aberrant left subclavian artery is not a contraindication of this technique.
背景
右位主动脉弓和主动脉缩窄是罕见的先天性异常，发病率分别为0.1%和0.03 - 0.04%。我们报告一例51岁女性病例，该患者为右位主动脉弓伴迷走左锁骨下动脉及主动脉缩窄并狭窄后动脉瘤。
病例介绍
通过股血管在部分体外循环下进行主动脉缩窄及动脉瘤切除并植入人工血管。
结论
部分体外循环是确保身体远端灌注的一种可行方法，迷走左锁骨下动脉并非该技术的禁忌证。
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