61188Centro Medico ABC, Ciudad de Mexico, Mexico.
Hospital Diomed, Ciudad de Mexico, Mexico.
Vasc Endovascular Surg. 2022 Feb;56(2):190-195. doi: 10.1177/15385744211048309. Epub 2021 Sep 25.
Coarctation of the aorta (CoA) can either present alone as an isolated condition or in association with other aortic arch or cardiac anomalies. One percent of patients with CoA have concomitant an aberrant right subclavian artery (ARSA). We report the case of a 35-year-old woman with uncontrolled hypertension who was found to have CoA and ARSA. The patient was treated successfully using a hybrid procedure comprising ARSA ligation and subclavian to carotid transposition, followed by thoracic endovascular aortic repair. Patients with CoA should be carefully studied, considering the possible coexistence of other congenital aortic arch defects, such as ARSA. Hybrid repair is a safe and effective approach for this condition.
主动脉缩窄（CoA）可单独出现，也可与其他主动脉弓或心脏异常同时出现。1%的 CoA 患者伴有异常右锁骨下动脉（ARSA）。我们报告了一例 35 岁的女性高血压患者，发现患有 CoA 和 ARSA。该患者成功接受了一种杂交手术治疗，包括 ARSA 结扎和锁骨下动脉到颈动脉转位，随后进行了胸主动脉腔内修复。患有 CoA 的患者应仔细研究，考虑到其他先天性主动脉弓缺陷（如 ARSA）的可能并存。对于这种情况，杂交修复是一种安全有效的方法。
