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左锁骨下动脉离断合并右位主动脉弓及大动脉D型转位

Left Subclavian Artery Isolation with Right Aortic Arch and D-Transposition of the Great Arteries.

作者信息

Hansen Katherine, Dhillon Gurpreet, Ma Michael, Maskatia Shiraz A, Su Lillian, Vasanawala Shreyas, Punn Rajesh

机构信息

Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.

Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California.

出版信息

CASE (Phila). 2021 Nov 10;5(6):392-398. doi: 10.1016/j.case.2021.09.010. eCollection 2021 Dec.

DOI:10.1016/j.case.2021.09.010
PMID:34993370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8712996/
Abstract

• In subclavian artery isolation, a subclavian artery arises from a pulmonary artery. • Subclavian artery isolation with d-TGA has unique findings on physical examination. • Subclavian artery isolation with d-TGA is often a missed diagnosis on echocardiogram. • Diagnosis is made more often using CCT, CMR, or invasive angiography. • Preoperative diagnosis enables surgical correction during arterial switch operation.

摘要

• 在锁骨下动脉离断中，锁骨下动脉起自肺动脉。

• d-大动脉转位合并锁骨下动脉离断在体格检查时有独特表现。

• d-大动脉转位合并锁骨下动脉离断在超声心动图检查时常常漏诊。

• 更多时候通过心脏CT、心脏磁共振成像或有创血管造影进行诊断。

• 术前诊断有助于在动脉调转手术时进行手术矫正。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/e56e66e870cc/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/65f9ba197efe/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/c335eaf7f944/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/1ef8e88be9cd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/487680dfae03/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/b5fa1b0ea08a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/ea7b721a87fd/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/a5a315c9d445/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/8787a9c1d793/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/aa7fc3e086e1/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/eeb11d388b1a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/9bd37999d7b9/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/8c5ac2b5d029/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/e6dd1da43fd7/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/66ed10cb1835/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/25342aaaeb43/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/e56e66e870cc/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/65f9ba197efe/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/c335eaf7f944/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/1ef8e88be9cd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/487680dfae03/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/b5fa1b0ea08a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/ea7b721a87fd/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/a5a315c9d445/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/8787a9c1d793/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/aa7fc3e086e1/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/eeb11d388b1a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/9bd37999d7b9/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/8c5ac2b5d029/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/e6dd1da43fd7/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/66ed10cb1835/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/25342aaaeb43/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edfe/8712996/e56e66e870cc/gr15.jpg

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本文引用的文献

1
Diagnosis of anomalous origin of the right subclavian artery from the right pulmonary artery in a patient with D-transposition of the great arteries utilizing transthoracic echocardiography.经胸超声心动图诊断 D 型大动脉转位患者右锁骨下动脉发自右肺动脉异常起源。
Echocardiography. 2020 Dec;37(12):2144-2147. doi: 10.1111/echo.14901. Epub 2020 Oct 20.
2
An exceedingly rare association of an isolated right subclavian artery with transposition of great vessels.一种极为罕见的孤立性右锁骨下动脉伴大血管转位的关联。
Ann Pediatr Cardiol. 2020 Apr-Jun;13(2):177-178. doi: 10.4103/apc.APC_150_19. Epub 2020 Feb 12.
3
Anomalous Left Subclavian Artery from the Left Pulmonary Artery in Transposition of the Great Arteries with Right Aortic Arch.
大动脉转位合并右弓左降异常左锁骨下动脉发自左肺动脉。
World J Pediatr Congenit Heart Surg. 2021 May;12(3):424-426. doi: 10.1177/2150135118822799. Epub 2019 May 9.
4
Anomalous Origin of the Right Subclavian Artery in a Patient with D-transposition of the Great Arteries.大动脉D型转位患者右锁骨下动脉异常起源
Korean J Thorac Cardiovasc Surg. 2018 Dec;51(6):403-405. doi: 10.5090/kjtcs.2018.51.6.403. Epub 2018 Dec 5.
5
Isolated Left Brachiocephalic Artery in Transposition of the Great Arteries.体静脉异位引流型完全性大动脉转位合并孤立左头臂动脉。
Can J Cardiol. 2018 Oct;34(10):1369.e13-1369.e15. doi: 10.1016/j.cjca.2018.07.420. Epub 2018 Jul 27.
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d-transposition of great arteries, dextrocardia with aberrant origin of right subclavian artery from pulmonary artery.大动脉d型转位、右位心伴右锁骨下动脉起源异常（起自肺动脉）。
J Card Surg. 2018 Oct;33(10):691-692. doi: 10.1111/jocs.13812. Epub 2018 Sep 11.
7
Isolation of the right subclavian artery in a patient with d-transposition of the great arteries.在一名大动脉d型转位患者中分离右锁骨下动脉。
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Anomalies of the derivatives of the aortic arch system.主动脉弓系统衍生物的异常。
Med Clin North Am. 1948 Jul;32:925-49. doi: 10.1016/s0025-7125(16)35662-0.
9
Abnormal origin of the right subclavian artery from the right pulmonary artery in a patient with D-transposition of the great vessels and left juxtaposition of the right atrial appendage: an unusual anatomical variant.一名患有大动脉转位及右心耳左并列的患者，右锁骨下动脉异常起源于右肺动脉：一种罕见的解剖变异。
J Card Surg. 2004 Jan-Feb;19(1):41-4. doi: 10.1111/j.0886-0440.2004.04008.x.
10
Isolation of the Left Innominate Artery.左无名动脉的分离
Echocardiography. 1996 Jul;13(4):435-438. doi: 10.1111/j.1540-8175.1996.tb00917.x.