• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

成功采用血管腔内与开放手术相结合的方法治疗左锁骨下动脉瘤

Successful Hybrid Endovascular and Open Approach for Exclusion of a Left Subclavian Artery Aneurysm.

作者信息

Mukasa Kotaro, Yakita Yasunori, Marushima Ryosuke, Abe Shinichiro, Asano Soichi

机构信息

Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Ichihara, Chiba, Japan.

出版信息

Ann Vasc Dis. 2025;18(1). doi: 10.3400/avd.cr.24-00139. Epub 2025 May 17.

DOI:10.3400/avd.cr.24-00139
PMID:40401119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12092278/
Abstract

Subclavian artery aneurysms are rare and challenging to treat owing to their anatomical location and proximity to critical branches, including the vertebral artery. We report the case of a 78-year-old man with a left subclavian artery aneurysm. The aneurysm was located in the mediastinum and measured 31 mm in diameter. The proximal side of the aneurysm was sealed with a stent graft, while the distal side was accessed through a supraclavicular incision and directly ligated. Postoperative imaging confirmed complete exclusion. This hybrid approach avoided invasive open surgery and provided a favorable outcome.

摘要

锁骨下动脉瘤较为罕见，因其解剖位置以及与包括椎动脉在内的重要分支相邻，治疗颇具挑战性。我们报告一例78岁男性左锁骨下动脉瘤病例。动脉瘤位于纵隔，直径31毫米。动脉瘤近端用覆膜支架封闭，远端通过锁骨上切口进入并直接结扎。术后影像学检查证实完全隔绝。这种杂交手术方式避免了侵入性开放手术，并取得了良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc58/12092278/9ff9af77b7b9/avd-18-1-24-00139-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc58/12092278/4687e504b582/avd-18-1-24-00139-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc58/12092278/5313ab2d8206/avd-18-1-24-00139-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc58/12092278/9ff9af77b7b9/avd-18-1-24-00139-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc58/12092278/4687e504b582/avd-18-1-24-00139-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc58/12092278/5313ab2d8206/avd-18-1-24-00139-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc58/12092278/9ff9af77b7b9/avd-18-1-24-00139-figure03.jpg

相似文献

1
Successful Hybrid Endovascular and Open Approach for Exclusion of a Left Subclavian Artery Aneurysm.成功采用血管腔内与开放手术相结合的方法治疗左锁骨下动脉瘤
Ann Vasc Dis. 2025;18(1). doi: 10.3400/avd.cr.24-00139. Epub 2025 May 17.
2
One-stage supraclavicular hybrid procedure for type B aortic dissection involving three rare anatomical anomalies: a case report and literature review.一期锁骨上杂交手术治疗累及三种罕见解剖学异常的 B 型主动脉夹层：病例报告及文献复习。
J Int Med Res. 2021 Jun;49(6):3000605211020241. doi: 10.1177/03000605211020241.
3
Endovascular repair of descending thoracic aortic aneurysm: an evidence-based analysis.降主动脉瘤的血管腔内修复：一项基于证据的分析。
Ont Health Technol Assess Ser. 2005;5(18):1-59. Epub 2005 Nov 1.
4
In-Situ Fenestration of a PTFE Thoracic Aortic Stent Graft for Delayed Left Subclavian Artery Revascularization Following Frozen Elephant Trunk Repair of Type A Aortic Dissection.原位开窗聚四氟乙烯胸主动脉覆膜支架治疗A型主动脉夹层象鼻术后左锁骨下动脉延迟血运重建
Ann Vasc Surg. 2020 Feb;63:459.e9-459.e15. doi: 10.1016/j.avsg.2019.08.101. Epub 2019 Oct 14.
5
A Rare Entity: Traumatic Thoracic Aortic Injury in a Patient with Aberrant Right Subclavian Artery.一个罕见病例：一名右锁骨下动脉异常患者的创伤性胸主动脉损伤
Ann Vasc Surg. 2017 May;41:280.e1-280.e5. doi: 10.1016/j.avsg.2016.09.031. Epub 2017 Feb 24.
6
Physician-Modified Endovascular Graft for Left Subclavian Artery Fenestration during Thoracic Endovascular Aortic Repair.胸主动脉腔内修复术中左锁骨下动脉开窗的医师改良血管内移植物。
Ann Vasc Surg. 2023 Sep;95:14-22. doi: 10.1016/j.avsg.2023.04.014. Epub 2023 Apr 28.
7
Isolated True Subclavian Aneurysm without Aberrant Subclavian Artery or Coarctation of Descending Aorta.孤立性真性锁骨下动脉瘤，无迷走锁骨下动脉或降主动脉缩窄。
Ann Vasc Surg. 2021 Aug;75:294-300. doi: 10.1016/j.avsg.2021.01.108. Epub 2021 Apr 2.
8
Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology.左锁骨下动脉血运重建联合腔内修复急性和慢性胸主动脉病变的效用。
J Vasc Surg. 2006 Mar;43(3):433-9. doi: 10.1016/j.jvs.2005.11.049.
9
Development of Collaterals to the Spinal Cord after Endovascular Stent Graft Repair of Thoracic Aneurysms.胸主动脉瘤血管内支架植入修复术后脊髓侧支循环的发展
Eur J Vasc Endovasc Surg. 2016 Dec;52(6):801-807. doi: 10.1016/j.ejvs.2016.09.010. Epub 2016 Oct 21.
10
Treatment of an Aortic Arch Aneurysm with Scalloped and Fenestrated Thoracic Stent Graft and Left Carotid to Subclavian Artery Bypass.使用带扇形和开窗的胸主动脉覆膜支架及左颈动脉至锁骨下动脉旁路术治疗主动脉弓动脉瘤
Ann Vasc Surg. 2017 Apr;40:300.e11-300.e15. doi: 10.1016/j.avsg.2016.08.041. Epub 2017 Feb 3.

本文引用的文献

1
A novel approach for the repair of left subclavian artery aneurysm.一种修复左锁骨下动脉瘤的新方法。
JTCVS Tech. 2023 Sep 18;22:147-149. doi: 10.1016/j.xjtc.2023.09.012. eCollection 2023 Dec.
2
Endovascular management of traumatic pseudoaneurysm of left subclavian artery: A case report.左锁骨下动脉创伤性假性动脉瘤的血管内治疗：一例报告。
Radiol Case Rep. 2023 Sep 5;18(11):4066-4070. doi: 10.1016/j.radcr.2023.08.062. eCollection 2023 Nov.
3
Hybrid repair of a large pseudoaneurysm of the proximal right subclavian artery in a Marfan patient.
马凡氏综合征患者右锁骨下动脉近端大型假性动脉瘤的杂交修复术。
J Vasc Surg Cases Innov Tech. 2017 Oct 20;3(4):215-217. doi: 10.1016/j.jvscit.2017.08.001. eCollection 2017 Dec.
4
Contemporary relevancy of carotid-subclavian bypass defined by an experience spanning five decades.颈动脉-锁骨下动脉搭桥术的当代相关性：基于五十年经验的界定
Ann Vasc Surg. 2011 Oct;25(7):895-901. doi: 10.1016/j.avsg.2011.06.003. Epub 2011 Aug 10.
5
Changing profiles of diagnostic and treatment options in subclavian artery aneurysms.锁骨下动脉动脉瘤的诊断和治疗选择的变化。
Eur J Vasc Endovasc Surg. 2010 Jul;40(1):27-34. doi: 10.1016/j.ejvs.2010.03.011. Epub 2010 Apr 15.
6
Incidence of neurological complications following overstenting of the left subclavian artery.左锁骨下动脉过度支架置入术后神经并发症的发生率。
Eur J Cardiothorac Surg. 2007 Apr;31(4):628-36. doi: 10.1016/j.ejcts.2006.12.026. Epub 2007 Feb 1.
7
Multiple arteriosclerotic arterial aneurysms.多发性动脉硬化性动脉瘤
Arch Surg. 1972 Aug;105(2):338-44. doi: 10.1001/archsurg.1972.04180080184031.
8
Surgical treatment of aneurysms of the intrathoracic segment of the subclavian artery.
Chest. 1987 May;91(5):704-8. doi: 10.1378/chest.91.5.704.