主动脉弓分支双球茎起源及左斜角间三角分隔一例

C. Tessema
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引用次数: 0

摘要

在解剖一具83岁男性尸体时,发现主动脉弓分支有两个球根状起源。右侧分为头臂干和左侧颈总动脉,左侧分为左侧椎动脉和左侧锁骨下动脉。小斜角肌和近裂的前斜角肌将左斜角间三角分成四个隔室,臂丛的根和锁骨下动脉分别通过每个隔室发出。像这样的变异可能会使主动脉弓综合征和胸廓出口综合征的临床区分变得困难,特别是当涉及锁骨下动脉时,使斜角间三角结构的入路复杂化。外科医生、放射科医生、麻醉科医生和其他相关人员应该认识到这些差异,以便做出正确的诊断,应用适当的程序,并制定适当的治疗方案,以获得更好的临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case of Two Bulbous Origins of Aortic Arch Branches and Compartmentalized Left Interscalene Triangle
During the dissection of an 83-year-old male cadaver, two bulbous origins of the aortic arch branches were noticed. The right divided into the brachiocephalic trunk and the left common carotid artery, and the left divided into the left vertebral and left subclavian arteries. A scalenus minimus muscle and a proximally split anterior scalene muscle divided the left interscalene triangle into four compartments through which the roots of the brachial plexus and the subclavian artery exited separately through each compartment. Variations like this could make the clinical distinction of aortic arch syndrome from thoracic outlet syndrome difficult, particularly, when the subclavian artery is involved and complicates the approach to structures in the interscalene triangle. Surgeons, radiologists, anesthesiologists and others involved in these areas should be cognizant of such variations in order to make the correct diagnosis, apply the appropriate procedure and institute the proper treatment for a better clinical outcome.
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