有症状的迷走右锁骨下动脉治疗中的微创方法。
Minimally invasive approach in symptomatic aberrant right subclavian artery treatment.
作者信息
Najafi M J, Davoodi M, Godazandeh Gh A, Zahmatkesh A, Faghani N, Bashiri R
机构信息
Mazandaran Univ Med Sci, Dept Surg, Fac Med, Sari, Mazandaran Prov, Iran; Clinical Research Development Unit of Imam Khomeini Hospital, Mazandaran university of Medical Science, Sari, Iran.
Mazandaran Univ Med Sci, Dept Surg, Fac Med, Sari, Mazandaran Prov, Iran; Clinical Research Development Unit of Imam Khomeini Hospital, Mazandaran university of Medical Science, Sari, Iran.
出版信息
Int J Surg Case Rep. 2023 Jul;108:108434. doi: 10.1016/j.ijscr.2023.108434. Epub 2023 Jun 22.
INTRODUCTION AND IMPORTANCE
Anomalous right subclavian artery (ARSA) represents an uncommon anatomical deviation concerning the genesis of the right subclavian artery. As the predominant embryological irregularity of the aortic arch, it is clinically recognized as arteria lusoria (AL).
CASE PRESENTATION
This study, describe the instance of a 22-year-old female exhibiting a non-aneurysmal, symptomatic anomalous right subclavian artery (ARSA) coursing posteriorly to the esophagus, as evidenced by thoracic computed tomography (CT) imaging.
CLINICAL DISCUSSION
As an attractive option, a minimally invasive surgical method was used to treat the patient, and the anomalous vessel was closed from the closest location to its origin in the aortic arch during a short time thoracoscopic surgery.
DISCUSSION, CONCLUSION: Compared to the common surgical methods to treat this anomaly, the complications and morbidity resulting from this method are much less and the length of stay in the hospital is shorter and the results are acceptable.
引言与重要性
右锁骨下动脉异常（ARSA）是一种关于右锁骨下动脉起源的罕见解剖变异。作为主动脉弓主要的胚胎学异常，它在临床上被认为是迷走动脉（AL）。
病例介绍
本研究描述了一名22岁女性的病例，经胸部计算机断层扫描（CT）成像证实，其存在一条非动脉瘤性、有症状的右锁骨下动脉异常（ARSA），该动脉走行于食管后方。
临床讨论
作为一种有吸引力的选择，采用了微创外科手术方法治疗该患者，在短时间的胸腔镜手术中，从异常血管在主动脉弓最靠近其起源的位置将其闭合。
讨论、结论：与治疗该异常的常见手术方法相比，此方法导致的并发症和发病率要低得多，住院时间更短，且结果是可接受的。
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