Hobson R W, Sarkaria J, O'Donnell J A, Neville W E
Surgery. 1979 Apr;85(4):368-71.
The case reports of three adult men, in whom four atherosclerotic aneurysms of otherwise normal subclavian arteries were detected in the absence of thoracic outlet syndrome or a history of trauma, are detailed. Two patients complained of supraclavicular discomfort--one having a history suggestive of peripheral arterial emboli and the other was asymptomatic. These aneurysms can be resected safely using a supraclavicular incision with resection of the medial clavicle. In cases requiring more proximal arterial control, median sternotomy is advisable. Our one patient with bilateral atherosclerotic aneurysms appears to be the first such reported case in the surgical literature.
详细报告了3例成年男性病例，他们在没有胸廓出口综合征或外伤史的情况下，发现了4个原本正常的锁骨下动脉粥样硬化性动脉瘤。2例患者主诉锁骨上不适，1例有提示周围动脉栓塞的病史，另1例无症状。这些动脉瘤可通过锁骨上切口并切除内侧锁骨安全切除。在需要更靠近近端控制动脉的情况下，建议采用正中胸骨切开术。我们的1例双侧动脉粥样硬化性动脉瘤患者似乎是外科文献中首例此类报告病例。
