伴食道后成分的右侧主动脉弓Kommerell憩室动脉瘤的外科治疗。

Marco Agostini, Roberto Priotto, Mauro Feola, Luigi Losardo, Maurizio Grosso, Claudio Grossi
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引用次数: 0

摘要

我们报告一个41岁男性的病例,在右侧主动脉弓出现一个大的Kommerell憩室动脉瘤,伴食管后成分和中度胸主动脉扩张。手术治疗通过左开胸进行,包括动脉瘤切除术、主动脉弓缺损远端闭合和主动脉-左锁骨下动脉搭桥。2年后的计算机断层扫描显示胸主动脉形态和骨下动脉的通畅没有改变。
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Surgical treatment of an aneurysm originating from a Kommerell's diverticulum in the right-sided aortic arch with retroesophageal component.

We report the case of a 41-year-old man presenting with a large Kommerell's diverticulum aneurysm in the right-sided aortic arch with retroesophageal component and moderate thoracic aortic dilation. Surgical treatment was performed through left thoracotomy and consisted of aneurysmectomy, closure of the distal aortic arch defect and aorta-left subclavian artery bypass. After 2 years computed tomography showed no modifications in the thoracic aortic morphology and the patency of the graft to the subclavian artery.

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