异常右锁骨下动脉和Kommerell憩室:一种原始的双用途分流手术治疗

A. Monnot , P. Boitet , D. Plissonnier
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引用次数: 2

摘要

我们报告一例左主动脉弓患者的右锁骨下动脉异常的Kommerell憩室。报告:80岁患者表现为吞咽困难和呼吸困难。计算机断层扫描显示气管和食道被异常动脉压迫。这种情况通过手术治疗得到纠正,没有体外循环或低温循环停止。动脉瘤通过在升主动脉和降主动脉之间的临时分流术被排除。血管内手术被认为不适合将食管和气管从动脉压迫中释放出来。
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 and Kommerell's Diverticulum: An Original Surgical Treatment with Dual-purpose Shunt

Introduction

We report a case of Kommerell's diverticulum of an aberrant right subclavian artery in a patient with a left-sided aortic arch.

Report

The 80-year-old patient presented with dysphagia and dyspnea. The computed tomography scan showed that the trachea and the esophagus were compressed by the aberrant artery. This situation was corrected by surgical treatment without cardiopulmonary bypass or hypothermic circulatory arrest. The aneurysm was excluded by means of a temporary shunt between the ascending aorta and the descending aorta.

Discussion

An endovascular procedure was not considered to be appropriate to release the esophagus and trachea from arterial compression.

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