Kiernan P D, Dearani J, Byrne W D, Ehrlich T, Carter W, Krasicky G, Harshaw W
Section of Thoracic Surgery, Fairfax Hospital, INOVA Health Care Systems, Annandale, Virginia 22003.
Mayo Clin Proc. 1993 May;68(5):468-74. doi: 10.1016/s0025-6196(12)60196-7.
In this article, we describe a case of a surgically treated aneurysm of an aberrant right subclavian artery. The historical literature to date is summarized, as are the key concepts relative to the anatomy, embryology, diagnosis, and treatment of this uncommonly occurring entity. Although the topic might be expected to be of concern to only a few specialists, all physicians should be aware that a patient with an enlarging aneurysm of an aberrant subclavian artery may experience dyspnea, dysphagia, or sudden collapse from rupture as the initial manifestations. An asymptomatic patient may have a mediastinal mass detected by roentgenography. The diagnosis may be confirmed with computed tomography or magnetic resonance imaging. As with most aneurysms, surgical treatment is recommended, and the benefit-to-risk analysis depends on individual case factors.
在本文中，我们描述了一例经手术治疗的迷走右锁骨下动脉动脉瘤病例。总结了迄今为止的历史文献，以及与这种罕见病症的解剖学、胚胎学、诊断和治疗相关的关键概念。尽管这个话题可能仅被少数专家关注，但所有医生都应意识到，迷走锁骨下动脉动脉瘤增大的患者可能会以呼吸困难、吞咽困难或破裂导致的突然虚脱为首发表现。无症状患者可能通过X线检查发现纵隔肿块。可通过计算机断层扫描或磁共振成像来确诊。与大多数动脉瘤一样，建议进行手术治疗，风险效益分析取决于个体病例因素。
