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通过上半部分胸骨切开术成功切除巨大的胸内锁骨下动脉瘤。

Successful resection of a massive intrathoracic subclavian artery aneurysm via upper partial sternotomy.

作者信息

Mori Kazuki, Takebayashi Satoshi, Morita Masato, Kume Masazumi

机构信息

Department of Cardiovascular Surgery, NHO Beppu Medical Center, Oita, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Mar 4;11(3):101769. doi: 10.1016/j.jvscit.2025.101769. eCollection 2025 Jun.

Abstract

This case report describes the successful surgical resection of a massive right subclavian artery aneurysm in a 76-year-old male. Preoperative imaging revealed a 46-mm saccular aneurysm with no evidence of other aneurysms. Surgical access was facilitated via a right supraclavicular incision, which was extended with a partial upper sternotomy. After successful resection of the aneurysm, a direct end-to-end anastomosis was performed. Subclavian artery aneurysms are a relatively uncommon subtype of peripheral artery aneurysms, necessitating individualized surgical strategies based on their location.

摘要

本病例报告描述了一名76岁男性巨大右锁骨下动脉瘤的成功手术切除。术前影像学检查发现一个46毫米的囊状动脉瘤,未发现其他动脉瘤迹象。通过右锁骨上切口便于手术入路,该切口通过部分上胸骨切开术进行延长。成功切除动脉瘤后,进行了直接端端吻合。锁骨下动脉瘤是周围动脉瘤中相对不常见的亚型,需要根据其位置制定个体化的手术策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc45/11999197/61c3e91a6799/gr1.jpg

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