Pagni S, Denatale R W, Ferneini A M
Department of Surgery, Hospital of Saint Raphael, New Haven, Connecticut 06511, USA.
Am Surg. 1998 Apr;64(4):323-7.
Aneurysms of the upper extremities, and particularly the intrathoracic segment of the subclavian artery, are unusual. Surgical approach and timing of repair remain controversial. We successfully treated a case of a large proximal subclavian artery aneurysm, atherosclerotic in origin. In spite of the size, the symptoms were vague. The patient underwent partial resection of the lesion located in the proximal third of the right subclavian artery, and repair using 8 mm dacron interposition graft. She did well postoperatively and remains symptom free at 1 year. A discussion of this disorder with the relevant literature review is herein included.
上肢动脉瘤，尤其是锁骨下动脉胸内段动脉瘤，较为罕见。手术入路和修复时机仍存在争议。我们成功治疗了一例起源于动脉粥样硬化的近端锁骨下动脉大型动脉瘤病例。尽管瘤体较大，但症状并不明显。患者接受了位于右锁骨下动脉近端三分之一处病变的部分切除术，并使用8毫米涤纶补片进行修复。她术后恢复良好，1年后仍无症状。本文包括对该疾病的讨论及相关文献综述。
