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[右锁骨下动脉起源于主动脉弓(迷走右锁骨下动脉)的3例解剖学观察]

[3 anatomical observations of a right subclavian artery originating from the aortic arch (arteria lusoria)].

作者信息

Papadatos D

出版信息

Anat Anz. 1976;140(1-2):100-17.

PMID:984447
Abstract
  1. The dissection of 223 subjects has revealed 3 cases of A. lusoria (1.06%). In all these cases, the A. lusoria was the last branch of the aortic arch. 2. X-ray pictures were taken after injection of radio-opaque substance to elicit the topographical relations of A. lusoria with esophagus. 3. There were only small variations in the calibre and in the way of its branches. Right common carotid artery directly arose from the aortic arch. 4. The three Aa. lusoriae crossed the dorsal face of esophagus between the 4th and 2nd cervical vertebrae where they provoked at neat natch. 5. In one case, there was a marked narrowing at the origin of the artery. In another case, there was an initial widening of the artery. 6. Histological examination of the arterial wall from the portion between oesophagus and vertebral column demonstrated a decrease in number of elastic fibres towards the column. 7. In all cases, there was around A. lusoria a normal Ansa subclavia from the sympathetic trunk. 8. In one case, recurrent nervus were topographically normal on both sides. In both other cases, the right recurrent nerve did not pass under the right subclavian artery but went directly to the larynx without touching the right inferior thyroid artery and its branches.
摘要
  1. 对223例受试者进行解剖发现3例迷走主动脉(占1.06%)。在所有这些病例中,迷走主动脉是主动脉弓的最后一个分支。2. 在注入不透射线的物质后拍摄X线片,以显示迷走主动脉与食管的位置关系。3. 其管径及其分支方式仅有微小变异。右颈总动脉直接起自主动脉弓。4. 3条迷走主动脉在第4颈椎和第2颈椎之间穿过食管后壁,在此处形成明显压迹。5. 1例动脉起始处有明显狭窄。另1例动脉起始处有轻度增宽。6. 对食管与脊柱之间部分的动脉壁进行组织学检查显示,靠近脊柱处弹性纤维数量减少。7. 在所有病例中,迷走主动脉周围均有发自交感干的正常锁骨下袢。8. 1例双侧喉返神经位置正常。另外2例中,右侧喉返神经未从右锁骨下动脉下方经过,而是直接走向喉部,未触及右甲状腺下动脉及其分支。

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