Nonami Y, Ogoshi S
Department of Surgery II, Kochi Medical School, Japan.
J Cardiovasc Surg (Torino). 1998 Feb;39(1):39-42.
The intrathoracic subclavian artery is a rare location for a peripheral arterial atherosclerotic aneurysm when compared with the femoral and popliteal arteries. Resection of the aneurysm and replacement with a prosthetic graft has come to be the most commonly performed procedure for this problem. Because of the tight adherence of surrounding tissues such as the vagal nerve, phrenic nerve, jugular veins, and their branches, we preferred an exclusion method with revascularization to the aneurysmorrhaphy and achieved a good result. We report the clinical aspects of such a case.
与股动脉和腘动脉相比，胸内锁骨下动脉是外周动脉粥样硬化性动脉瘤的罕见发病部位。动脉瘤切除并用人造血管置换已成为针对这一问题最常实施的手术。由于迷走神经、膈神经、颈静脉及其分支等周围组织紧密粘连，我们更倾向于采用带血管重建的动脉瘤旷置术而非动脉瘤缝合法，且取得了良好效果。我们报告这样一例的临床情况。
