Amore Dario, Casazza Dino, Casalino Alfonso, Valente Tullio, De Rosa Rosanna Carmela, Sangiuolo Paolo, Curcio Carlo
Department of Thoracic Surgery, Monaldi Hospital, Naples, Italy.
Department of Vascular Surgery, Monaldi Hospital, Naples, Italy.
Ann Thorac Cardiovasc Surg. 2020 Apr 20;26(2):104-107. doi: 10.5761/atcs.nm.19-00206. Epub 2020 Feb 4.
We present the case of a 33-year-old woman with a non-aneurysmal, symptomatic aberrant right subclavian artery (ARSA) traveling posterior to the esophagus, as demonstrated on chest computed tomography (CT) scans. She was treated with a less invasive surgical approach: closure of the anomalous vessel close to its origin from the aortic arch, through a left thoracoscopic procedure, followed by right common carotid-subclavian artery transposition via an open right supraclavicular approach. This method avoids the postoperative morbidity associated with open thoracic surgery and allows a clear identification of the anatomic structures minimizing possible procedure-related complications as a long residual arterial stump.
我们报告了一例33岁女性患者，其右锁骨下动脉异常（ARSA）无动脉瘤且有症状，在胸部计算机断层扫描（CT）上显示该动脉走行于食管后方。她接受了一种侵入性较小的手术方法：通过左胸腔镜手术，在异常血管靠近主动脉弓起源处将其闭合，然后通过右锁骨上开放入路进行右颈总动脉-锁骨下动脉转位。该方法避免了与开胸手术相关的术后发病率，并能清晰识别解剖结构，将可能的手术相关并发症（如长的残余动脉残端）降至最低。
