Ndiaye Kader, Abbassi Adamou, Traoré Sory, Vagba Jacob, Aouami Aboubacar, Berret Martine
Service d´Anesthésie et Réanimation, Centre Hospitalo-Universitaire la Renaissance, N´Djamena, Tchad.
Service de Radiologie et Imagerie Médicale, Centre Hospitalo-Universitaire la Renaissance, N´Djamena, Tchad.
Pan Afr Med J. 2020 Dec 7;37:318. doi: 10.11604/pamj.2020.37.318.23253. eCollection 2020.
Arteria lusoria or retroesophageal right subclavian artery is the most common aortic arch malformation, accounting for 0.5-2.5% of cases. It can be detected in patients with symptoms including airway and/or esophageal compression such as dyspnea or dysphagia or even recurrent respiratory infections; but it is mostly asymptomatic, as reported by several authors. We here report the case of a 44-year-old female patient treated in our emergency room due to respiratory distress syndrome associated with arteria lusoria. This is a rare cause of dyspnea which should be suspected in patients with dyspnea not responding to medical treatment. Asymptomatic patients undergo medical treatment associated with simple surveillance. Surgery is necessary when it becomes symptomatic or when it is associated with Kommerell diverticulum (KD).
迷走动脉或食管后右锁骨下动脉是最常见的主动脉弓畸形，占病例的0.5 - 2.5%。在有气道和/或食管受压症状（如呼吸困难、吞咽困难甚至反复呼吸道感染）的患者中可检测到；但正如几位作者所报道的，它大多无症状。我们在此报告一例44岁女性患者，因与迷走动脉相关的呼吸窘迫综合征在我们的急诊室接受治疗。这是呼吸困难的罕见原因，对于药物治疗无反应的呼吸困难患者应怀疑此病。无症状患者接受简单监测的同时进行药物治疗。当出现症状或与Kommerell憩室（KD）相关时则需要手术治疗。
