Salcuni P, Manfredi A
Ateneo Parmense Acta Biomed. 1980;51(6):487-93.
Two poststenotic subclavian artery dilatations are described. The distinction between a poststenotic dilatation and aneurysm is based on arteriography, showing associated with explorative arteriotomy, if needed. In the case of even wide poststenotic dilatation, the first rib only should be removed. The first rib resection in the described patients controlled after 2 and 7 years, was followed by reduction of arterial dilatation in one case and by stabilization in the other. This result confirms that arterial grafting must be considered only in the treatment of true poststenotic aneurysm.
描述了两例锁骨下动脉狭窄后扩张。狭窄后扩张与动脉瘤的区分基于动脉造影,必要时结合探查性动脉切开术。对于即使是广泛的狭窄后扩张,也只需切除第一肋。在所描述的患者中,第一肋切除术后2年和7年进行了复查,其中一例动脉扩张减轻,另一例病情稳定。这一结果证实,仅在治疗真正的狭窄后动脉瘤时才应考虑动脉移植。