修复伴有双侧锁骨下动脉畸形的胸主动脉瘤

IF 0.7 Q4 SURGERY Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-05-21 DOI:10.1016/j.jvscit.2024.101536

Yuki Ikeno MD, Akiko Tanaka MD, PhD, Francesco Brandini BSA, Anthony L. Estrera MD

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引用次数: 0

摘要

我们介绍了一名 19 岁女性的罕见解剖结构，其特点是降主动脉瘤伴有右侧锁骨下动脉畸形，左侧主动脉弓伴有 Kommerell's 虹膜憩室。这种血管异常的复杂性还伴随着左锁骨下动脉的异常起源。患者在深低温循环停滞状态下通过左侧胸廓切开术接受了单阶段开放手术修复。双侧异常锁骨下动脉分别使用手缝分支移植物在原位重建。

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Repair of thoracic aortic aneurysm with bilateral aberrant subclavian artery

We present a rare anatomical configuration of a 19-year-old woman, characterized by descending thoracic aortic aneurysm with right aberrant subclavian arteries with a Kommerell's diverticulum in a left aortic arch. The complexity of this vascular anomaly was accompanied by an anomalous origin of left subclavian artery. The patient underwent a single-stage open surgical repair via left thoracotomy under deep hypothermic circulatory arrest. The bilateral aberrant subclavian arteries were separately reconstructed in situ using hand-sewn branched grafts.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.