Patiniotis T C, Mohajeri M, Hill D G
Royal Hobart Hospital, Tasmania, Australia.
Aust N Z J Surg. 1995 Sep;65(9):690-2. doi: 10.1111/j.1445-2197.1995.tb00683.x.
A 60-year-old woman presented with a cough, nocturnal stridor and dysphagia. Bronchoscopy showed tight compression of the right main bronchus. Digital subtraction angiography (DSA) and a computed tomographic (CT) scan showed the presence of a right-sided aortic arch with aberrant left subclavian artery. The distal right arch and proximal right-sided descending thoracic aorta were aneurysmal and were responsible for this compression. Surgical relief was accomplished by dividing the aberrant left subclavian artery and replacing the aneurysm with a vascular graft.
一名60岁女性出现咳嗽、夜间喘鸣和吞咽困难。支气管镜检查显示右主支气管受到紧密压迫。数字减影血管造影（DSA）和计算机断层扫描（CT）显示存在右侧主动脉弓伴左锁骨下动脉异常。右弓远端和右侧胸主动脉近端呈瘤样扩张，是造成这种压迫的原因。通过切断异常的左锁骨下动脉并用血管移植物替换动脉瘤，实现了手术减压。
