Unusual Presentation of Right Aberrant Subclavian Artery: Case Report

罕見的右側異生性鎖骨下動脈：案例報告

莊冠華(Kuan-Hua Chuang) ； 黃才旺(Tsai-Wang Huang) ； 程永隆(Yung-Lung Cheng) ； 陳仁智(Jen-Chih Chen) ； 張宏(Hung Chang) ； 李世俊(Shih-Chun Lee)

《胸腔醫學》 23卷6期 (2008/12) Pp. 470-474

https://doi.org/10.29806/TM.200812.0012

摘要

前言：因為異生性鎖骨下動脈而造成的吞嚥困難稱為dysphagia lusoria。儘管右側異生性鎖骨下動脈是先天性的疾病，造成吞嚥困難的機會是很小的而且通常發生在四十歲左右。
案例報告：我們要呈現的是一位有輕微胸痛及吞嚥困難症狀將近三個月的年輕病患。鋇劑食道顯影及胸部電腦斷層發現十到後方有一異生性鎖骨下動脈，而主動脈核磁共振血管攝影證實了這個準斷。
結論：通常異生性鎖骨下動脈不會導致臨床症狀，但是有時候會發生吞嚥困難。鋇劑食道顯影會發現異常病灶。

關鍵字

吞嚥困難 ； 異生性鎖骨下動脈

並列摘要

Background: Dysphagia due to an aberrant subclavian artery is termed dysphagia lusoria. Although right aberrant subclavian artery is a congenital anomaly, dysphagia lusoria is rare and generally develops during the 4th decade of life. We present a young patient who had had chest pain and mild dysphagia for 3 months. A barium contrast study and computed tomography of chest revealed an aberrant right subclavian artery passing behind the esophagus; Magnetic resonance angiography of the aorta confirmed the diagnosis. Usually, aberrant subclavian artery does not lead to symptoms; however, sometimes dysphagia develops. Barium contrast study of the esophagus will reveal the abnormality.

並列關鍵字

dysphagia ； aberrant subclavian artery