Yamakawa H, Nishikawa M, Nakahara I, Inagawa S, Koide T, Handa H
Department of Neurosurgery, Hamamatsu Rosai Hospital, Shizuoka, Japan.
Surg Neurol. 1993 Feb;39(2):133-7. doi: 10.1016/0090-3019(93)90091-e.
A case of congenital subclavian steal syndrome associated with an anomalous right-sided aorta is reported. A 41-year-old man complaining of vertigo and a loss of consciousness was admitted. Physical examination revealed a blood pressure differential between the arms that was 20 mm Hg less in the left. Aortography showed a right aortic arch from which arose the right subclavian and both common carotid arteries. The left subclavian artery did not opacify. Right vertebral angiography showed retrograde filling of the left vertebral. A left carotid-subclavian bypass was performed. Postoperatively, the patient is symptom free with equalized blood pressure.
报告了一例与右位主动脉异常相关的先天性锁骨下动脉盗血综合征病例。一名41岁男性因眩晕和意识丧失入院。体格检查发现双臂血压存在差异，左侧比右侧低20毫米汞柱。主动脉造影显示为右位主动脉弓，从该弓发出右锁骨下动脉和双侧颈总动脉。左锁骨下动脉未显影。右椎动脉造影显示左椎动脉逆行充盈。进行了左颈动脉-锁骨下动脉搭桥术。术后，患者症状消失，血压恢复正常。
