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采用锁骨下动脉转位至颈动脉及血管内封堵术杂交治疗引起吞咽困难型迷走右锁骨下动脉

Hybrid Treatment of Aberrant Right Subclavian Artery Causing Dysphagia Lusoria by Subclavian to Carotid Transposition and Endovascular Plug.

作者信息

Leon Monica, Garibaldi Mauro, Virgen Fausto, Ramírez-Cerda Claudio, Cohen-Mussali Salomon

机构信息

Department of Vascular Surgery, Centro Medico ABC, Ciudad de Mexico, Mexico.

出版信息

Vasc Specialist Int. 2020 Dec 31;36(4):258-262. doi: 10.5758/vsi.200042.

DOI:10.5758/vsi.200042
PMID:33293486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7790692/
Abstract

Differences in the common aortic arch branching pattern arise from abnormal embryological development. Aberrant origin of the right subclavian artery is the most common of these anomalies. We report the case of a 47-year-old female with progressive dysphagia, found to have an aberrant right subclavian artery (ARSA) running posterior to the esophagus on computed tomography angiography. She was managed successfully with a hybrid procedure involving a right supraclavicular incision for ARSA ligation and subclavian to carotid transposition followed by endovascular closure of the ARSA origin.

摘要

常见主动脉弓分支模式的差异源于胚胎发育异常。右锁骨下动脉异常起源是这些异常情况中最常见的。我们报告了一例47岁女性,因进行性吞咽困难就诊,计算机断层血管造影显示其右锁骨下动脉异常(ARSA)走行于食管后方。她通过一种杂交手术成功治疗,该手术包括右锁骨上切口结扎ARSA并进行锁骨下动脉至颈动脉转位,随后通过血管内封堵ARSA起始部。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a45/7790692/1530ef0c32ba/VSI-36-258-f7.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a45/7790692/1530ef0c32ba/VSI-36-258-f7.jpg

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