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一名30岁女性的先天性右锁骨下动脉瘤切除术

Congenital right subclavian artery aneurysm resection in a 30-year-old woman.

作者信息

Uddin Anaz, Lu Steven, Brennan Nicole, Theriot Jared, Tracy William, Rao Ajit, Finlay David J

机构信息

New York Medical College School of Medicine, Valhalla, NY.

Department of General Surgery, Metropolitan Hospital, New York, NY.

出版信息

J Vasc Surg Cases Innov Tech. 2024 May 9;10(4):101527. doi: 10.1016/j.jvscit.2024.101527. eCollection 2024 Aug.

Abstract

Right-sided subclavian artery aneurysms (SAAs) are exceedingly rare. The most common cause of intrathoracic SAAs is atherosclerosis; however, causes can also include infection, trauma, cystic medial degeneration, Marfan syndrome, and Takayasu arteritis. Symptoms present most commonly with compression of surrounding structures, although adverse events, including rupture, thrombosis, and embolization, can also occur. We present a case of a 30-year-old woman with an asymptomatic, 15-mm, right-sided SAA, which was successfully resected with subsequent end-to-end primary anastomosis.

摘要

右侧锁骨下动脉瘤(SAA)极为罕见。胸内SAA最常见的病因是动脉粥样硬化;然而,病因也可能包括感染、创伤、囊性中膜退变、马方综合征和大动脉炎。症状最常见的表现为周围结构受压,不过也可能发生包括破裂、血栓形成和栓塞在内的不良事件。我们报告一例30岁女性患者,患有一个无症状的15毫米右侧SAA,该动脉瘤通过后续的端到端一期吻合成功切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbdc/11260319/b8daaec8efcf/gr1.jpg

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