Lemire G G, Rabbat A G, Trudel J
Can J Surg. 1977 Jul;20(4):350-2.
An aberrant right subclavian artery causing symptoms is rare in adults. Several surgical approaches have been advocated. On the basis of results obtained in two patients, the authors recommended an anterior approach, either a transternal bilateral thoracotomy or a median sternotomy, that affords excellent exposure for flush ligation and division of the right subclavian artery at the aorta, and reconstruction on the ascending aorta.
异常右锁骨下动脉在成人中引起症状的情况罕见。已经提出了几种手术方法。基于在两名患者中获得的结果,作者推荐采用前路手术,即经胸骨双侧开胸或正中胸骨切开术,这种方法能提供极佳的暴露,便于在主动脉处对右锁骨下动脉进行无血结扎和离断,并在升主动脉上进行重建。