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胸主动脉瘤致气管受压并右锁骨下动脉解剖变异:一例报告

Thoracic aorta aneurysm tracheal compression and anatomical variant of the right subclavian artery: A case report.

作者信息

Cianfrone Francesca, Cantore Italo, Montuori Claudio, Bevilacqua Pio, Tauro Francesco, Chiarelli Raffaele, Marcello Roberto, Ruscito Paolo

机构信息

ENT Department, Asl Roma 1 San Filippo Neri Hospital, Rome, Italy.

Department of Head-Neck and Sensory Organs, Catholic University of Sacred Heart, Rome, Italy.

出版信息

Radiol Case Rep. 2025 May 14;20(8):3729-3732. doi: 10.1016/j.radcr.2025.04.019. eCollection 2025 Aug.

Abstract

Tracheo-bronchial compression is a complication of vascular congenital and acquired anomalies, usually associated with double aortic arch, aberrant subclavian artery, pulmonary artery sling, Kommerell's diverticulum, and with aneurysms of the aortic arch and thoracic aorta. In this report we present a case of a 75-year-old male with incidental diagnosis of tracheal compression by a thoracic aorta aneurysm combined with anatomical variant of the right subclavian artery, that came up to our attention because of the onset of a subarachnoid hemorrhage (SAH) caused by a bilobar shaped anterior cerebral artery aneurysm rupture.

摘要

气管支气管受压是血管先天性和后天性异常的一种并发症,通常与双主动脉弓、迷走锁骨下动脉、肺动脉吊带、Kommerell憩室以及主动脉弓和胸主动脉瘤有关。在本报告中,我们介绍了一例75岁男性病例,偶然诊断为胸主动脉瘤合并右锁骨下动脉解剖变异导致气管受压,该病例因双侧大脑前动脉动脉瘤破裂引起蛛网膜下腔出血(SAH)而受到我们的关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a71/12144421/8555473acc6a/gr1.jpg

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