Division of Cardiac Surgery, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, S. Orsola Hospital, University of Bologna, Bologna, Italy.
Division of Cardiac Surgery, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, S. Orsola Hospital, University of Bologna, Bologna, Italy.
Ann Thorac Surg. 2022 Apr;113(4):e287-e289. doi: 10.1016/j.athoracsur.2021.06.012. Epub 2021 Jun 29.
Aberrant right subclavian artery is a relatively rare congenital anomaly of the aortic arch. A 74-year-old woman was referred to our cardiac surgery department for chest pain. Computed tomography angiography scan showed an acute aortic dissection and revealed an aberrant right subclavian artery routed behind the trachea. We performed supracoronary ascending aorta and total arch replacement with the frozen elephant trunk technique. The aberrant right subclavian artery was then anastomosed termino-terminal to one branch of the Thoraflex (Vascutek, Glasgow, Scotland) arch graft. Postoperative computed tomography scan indicated a successful reconstruction of the aortic arch, proving the open stent-grafting technique as a useful and effective approach for aortic disease with aberrant right subclavian artery.
异常右锁骨下动脉是一种相对罕见的主动脉弓先天性异常。一名 74 岁女性因胸痛被转至我院心胸外科。计算机断层扫描血管造影显示急性主动脉夹层，并发现异常右锁骨下动脉位于气管后方。我们采用升主动脉和全弓置换的冷冻象鼻技术。然后将异常右锁骨下动脉端端吻合至 Thoraflex（Vascutek，Glasgow，苏格兰）弓移植血管的一个分支。术后计算机断层扫描显示主动脉弓重建成功，证明开放支架移植技术是治疗伴有异常右锁骨下动脉的主动脉疾病的一种有用且有效的方法。
