[斯坦福A型急性主动脉夹层累及迷走右锁骨下动脉——一例成功手术病例]

[Stanford type A acute aortic dissection involving an aberrant right subclavian artery--a successful operative case].

作者信息

Furukawa H, Takemura T, Ohno H, Hirai M, Nemoto S

机构信息

Department of Cardiovascular Surgery, National Sanatrium Higashinagano Hospital, Nagano, Japan.

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1995 Apr;43(4):533-7.

PMID:7608608

Abstract

A 64-year-old woman was admitted with chest (pain) and back pain. We found aortic dissecting area from ascending aorta to aortic arch and thoracic descending aorta by enhanced computed tomography. She was diagnosed Stanford type A acute aortic dissection. Emergent operation was performed on Jan. 20th, 1994. During operation, we found an aberrant right subclavian artery from Jan. 20th, 1994. During operation, we found an aberrant right subclavian artery from descending aorta. Using non-clamping selective cerebral perfusion, we could succeed this operation. As far as we know, this is the first report in Japanese literatures.

摘要

一名64岁女性因胸痛和背痛入院。通过增强计算机断层扫描，我们发现升主动脉至主动脉弓及胸降主动脉存在主动脉夹层区域。她被诊断为斯坦福A型急性主动脉夹层。1994年1月20日进行了急诊手术。术中，我们发现降主动脉有一支异常的右锁骨下动脉。采用非钳夹选择性脑灌注，手术成功。据我们所知，这是日本文献中的首例报道。