Wakiyama H, Okada M, Yamashita C, Nakagiri K, Yoshimura N, Yoshida M, Ataka K, Sugimoto T
Department of Surgery, Kobe University School of Medicine, Kobe City, Hyogo, Japan.
Surg Today. 1998;28(10):1098-101. doi: 10.1007/BF02483972.
A true aneurysm of the right aortic arch which accompanies various branching characteristics is very rare. We report herein the successful surgical treatment of an elderly patient found to have an Edwards type IIIB right aortic arch aneurysm encircling and compressing the trachea. The complete right aortic arch and right subclavian artery were reconstructed through the inside of the aneurysm using selective cerebral perfusion. The patient recovered well, with no residual neurologic deficit and with resolution of the dyspnoic attacks he had suffered preoperatively.
伴有各种分支特征的右主动脉弓真性动脉瘤非常罕见。我们在此报告一例老年患者的成功手术治疗，该患者被发现患有环绕并压迫气管的爱德华兹IIIB型右主动脉弓动脉瘤。通过在动脉瘤内部进行选择性脑灌注，对完整的右主动脉弓和右锁骨下动脉进行了重建。患者恢复良好，无残留神经功能缺损，术前出现的呼吸困难发作也得到缓解。
