右锁骨下动脉畸形介入治疗可缓解吞咽困难。

IF 0.9 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiology in the Young Pub Date : 2024-12-01 Epub Date: 2024-10-09 DOI:10.1017/S1047951124026532
Cathlyn K Medina, John A Kucera, Berk Aykut, Neel K Prabhu, Lillian Kang, Hoe K Lim, Ziv Beckerman, Douglas M Overbey, Joseph W Turek
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引用次数: 0

摘要

背景:右锁骨下动脉异常是最常见的主动脉弓血管异常。传统观点认为,这些异常并不会导致吞咽困难,反而会起到 "障眼法 "的作用。显然,在绝大多数情况下,这种说法是正确的。方法:在本文中,我们介绍了四名因右侧锁骨下动脉畸形而导致吞咽困难的患儿。所有病例均通过右后外侧胸廓切开术成功实施了锁骨下动脉再植术:结果:术后吞咽困难缓解,所有患者都能恢复正常饮食。结果:术后吞咽困难消失,所有患者都能恢复正常饮食,术后体重也能适当增加,在最近的临床随访中表现良好:本系列病例表明,右锁骨下动脉解剖异常应被视为吞咽困难的潜在病因,尽管这种情况很少见。对特定患者进行手术干预可显著缓解症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aberrant right subclavian artery intervention can provide relief of dysphagia.

Background: An aberrant right subclavian artery represents the most common aortic arch vascular anomaly. Conventional wisdom states that these anomalies do not result in dysphagia, but rather serve as "red herrings". Clearly, in the vast majority of cases, this holds true. Nonetheless, one should never say never.

Methods: Herein, we present a cohort of four children with debilitating dysphagia resulting from an aberrant right subclavian artery. Subclavian reimplantation via a right posterolateral thoracotomy was performed successfully in all cases.

Results: Dysphagia resolved postoperatively, and all patients were able to advance to a normal diet. They were able to gain appropriate weight postoperatively and continue to do well at most recent clinical follow-up.

Conclusions: This case series suggests that aberrant right subclavian artery anatomy should be considered a potential aetiology of dysphagia, albeit rarely. Surgical intervention for select patients can provide dramatic resolution of symptoms.

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来源期刊
Cardiology in the Young
Cardiology in the Young 医学-小儿科
CiteScore
1.70
自引率
10.00%
发文量
715
审稿时长
4-8 weeks
期刊介绍: Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.
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