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成人锁骨下动脉先天性孤立

Congenital isolation of the subclavian artery in adults.

作者信息

Guinn G A, Weathers S

机构信息

Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.

出版信息

Tex Heart Inst J. 1997;24(1):58-61; discussion 61-3.

PMID:9068141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC340382/
Abstract

The congenital anomaly of isolation of the subclavian artery, on the left side, is associated with a right aortic arch. The subclavian artery loses its connection with the aorta and is connected to the left pulmonary artery via the ligamentum arteriosum. Subclavian steal syndrome accompanies this anomaly in a minority of patients. We report 2 cases of adults with subclavian artery isolation, one of whom was symptomatic, and we discuss the importance of recognizing its presence.

摘要

左侧锁骨下动脉孤立的先天性异常与右位主动脉弓相关。锁骨下动脉与主动脉失去连接,并通过动脉导管与左肺动脉相连。少数患者会伴有锁骨下动脉盗血综合征。我们报告2例成人锁骨下动脉孤立病例,其中1例有症状,并讨论了认识其存在的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/65243a279535/thij00024-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/414a1a77dc23/thij00024-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/7ef06652a7e1/thij00024-0069-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/b1a3979e61b6/thij00024-0069-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/e96a2d70d080/thij00024-0069-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/65243a279535/thij00024-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/414a1a77dc23/thij00024-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/7ef06652a7e1/thij00024-0069-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/b1a3979e61b6/thij00024-0069-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/e96a2d70d080/thij00024-0069-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b2/340382/65243a279535/thij00024-0070-a.jpg

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引用本文的文献

1
Congenital isolation of the subclavian artery in adults.成人锁骨下动脉先天性孤立
Tex Heart Inst J. 1997;24(2):146-7.

本文引用的文献

1
Reversal of blood flow through the vertebral artery and its effect on cerebral circulation.椎动脉血流逆转及其对脑循环的影响。
N Engl J Med. 1961 Nov 2;265:878-85. doi: 10.1056/NEJM196111022651804.
2
Anomalous origin of the brachiocephalic vessels with right aortic arch and contralateral subclavian steal syndrome.
Surg Radiol Anat. 1993;15(1):71-4. doi: 10.1007/BF01629866.
3
Congenital subclavian steal syndrome with anomaly of the aortic arch.先天性锁骨下动脉盗血综合征合并主动脉弓异常
Surg Neurol. 1993 Feb;39(2):133-7. doi: 10.1016/0090-3019(93)90091-e.
4
Steal syndrome after internal mammary artery bypass grafting--an entity with increasing significance.乳内动脉搭桥术后的盗血综合征——一种重要性日益增加的病症。
Thorac Cardiovasc Surg. 1993 Apr;41(2):112-7. doi: 10.1055/s-2007-1013833.
5
Isolation of a subclavian artery.锁骨下动脉的分离
AJR Am J Roentgenol. 1981 Oct;137(4):683-8. doi: 10.2214/ajr.137.4.683.
6
Right aortic arch associated with contralateral congenital subclavian steal syndrome.右位主动脉弓合并对侧先天性锁骨下动脉盗血综合征
Am J Roentgenol Radium Ther Nucl Med. 1970 Mar;108(3):582-90. doi: 10.2214/ajr.108.3.582.
7
Right aortic arch with isolation of the left subclavian artery: case report and review of the literature.右位主动脉弓伴左锁骨下动脉孤立:病例报告及文献复习
Mayo Clin Proc. 1990 Mar;65(3):407-13. doi: 10.1016/s0025-6196(12)62540-3.