Nicolosi A C, Cambria R A
Department of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee 53226, USA.
Ann Thorac Surg. 1995 Nov;60(5):1413-5. doi: 10.1016/0003-4975(95)00497-9.
Severe esophageal compression due to a vascular ring rarely develops after childhood. We report a case of a 57-year-old man with recent onset of dysphagia associated with right aortic arch, right descending aorta, and retroesophageal left subclavian artery arising from an arch diverticulum. Surgical repair was recommended for relief of symptoms and to prevent rupture of the diverticulum. The patient underwent left thoracotomy, division of the ligamentum arteriosum, and excision of the arch diverticulum. The left subclavian artery was reimplanted into the left common carotid artery through a separate neck incision. The patient had total relief of dysphagia postoperatively.
血管环导致的严重食管压迫在儿童期后很少发生。我们报告一例57岁男性病例，近期出现吞咽困难，伴有右主动脉弓、右降主动脉以及起源于主动脉弓憩室的食管后左锁骨下动脉。建议进行手术修复以缓解症状并预防憩室破裂。患者接受了左胸切开术、动脉导管韧带切断术以及主动脉弓憩室切除术。通过单独的颈部切口将左锁骨下动脉重新植入左颈总动脉。患者术后吞咽困难完全缓解。
