在一名患有反流的婴儿中诊断出右侧主动脉弓伴迷走左锁骨下动脉。
Right-sided aortic arch with aberrant left subclavian artery diagnosed in an infant with regurgitation.
作者信息
Imanzadeh Farid, Hosseini Amirhossein, Rashid Mahsa, Ghasemi Ali Taher, Salahshouri Fatemeh, Fariba Fariba, Yazdanifard Parin
机构信息
Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Gastroenterol Hepatol Bed Bench. 2022 Winter;15(1):99-102.
Right-sided aortic arch with aberrant left subclavian artery is a rare congenital anomaly of the aorta that occurs in less than 0.1% of the population. Patients are asymptomatic in most cases, and the anomaly is found incidentally; however, symptoms can occur due to the compression of other structures, mostly the trachea and esophagus. In this report, we present a case of esophageal compression by a right-sided aortic arch with aberrant left subclavian artery that mimicked gastro-esophageal reflux in a 3-month-old (87-day-old) infant with complaint of regurgitation, vomiting, and failure to gain weight who was diagnosed through a barium meal study.
右位主动脉弓伴迷走左锁骨下动脉是一种罕见的主动脉先天性异常，发病率低于0.1%。大多数情况下患者无症状，该异常多为偶然发现；然而，由于其他结构（主要是气管和食管）受压，也可能出现症状。在本报告中，我们呈现了一例右位主动脉弓伴迷走左锁骨下动脉压迫食管的病例，该病例表现为胃食管反流，患儿为3个月大（87日龄），主诉有反流、呕吐及体重不增，通过钡餐检查得以确诊。
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