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经胸骨正中劈开术修复异常右锁骨下动脉致吞咽困难 lusoria

Repair of Aberrant Right Subclavian Artery Causing Dysphagia Lusoria via Partial Median Sternotomy.

机构信息

Division of Cardiovascular Surgery, Labatt Family Heart Centre, Hospital for Sick Children, 7938University of Toronto, Toronto, Ontario, Canada.

Division of Cardiology, Labatt Family Heart Centre, Hospital for Sick Children, 7938University of Toronto, Toronto, Ontario, Canada.

出版信息

World J Pediatr Congenit Heart Surg. 2023 Mar;14(2):235-238. doi: 10.1177/21501351221137826. Epub 2022 Nov 15.

Abstract

While unusual, aberrant right subclavian artery (ARSCA) can occasionally be a source of significant dysphagia in children. We present a case of a 13-year-old female who reported a three-year history of dysphagia to solid foods and was found to have ARSCA on a barium swallow study and computed tomography scan of the chest. We reimplanted the ARSCA into the right carotid artery in end-to-side fashion using a partial median sternotomy approach. At six months follow-up, her symptoms had completely resolved, and her postoperative echocardiogram showed an unobstructed reimplanted ARSCA. Meeting presentation: AATS 102nd Annual Meeting; May 14, 2022; Boston, MA.

摘要

虽然不常见,但异常的右锁骨下动脉(ARSCA)偶尔也会成为儿童严重吞咽困难的原因。我们报告了一例 13 岁女性病例,她主诉有三年的固体食物吞咽困难病史,钡餐造影和胸部 CT 扫描发现存在 ARSCA。我们采用部分正中胸骨切开术,以端侧吻合方式将 ARSCA 重新植入右颈动脉。在六个月的随访中,她的症状完全缓解,术后超声心动图显示重新植入的 ARSCA 无阻塞。会议展示:AATS 第 102 届年会;2022 年 5 月 14 日;波士顿,MA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac2d/10080363/5e62d4cee067/10.1177_21501351221137826-fig1.jpg

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