主动脉夹层合并迷走右锁骨下动脉的诊疗现状及进展

Current status and progress in the management of aortic dissection with aberrant right subclavian artery

迷走右锁骨下动脉(ARSA)是弓上动脉的常见畸形,常合并主动脉夹层(AD)的发生,这导致病情更为凶险,治疗也更为复杂。目前,在临床上,对于AD合并ARSA的治疗仍无统一的定论,尤其涉及分支血管的重建方法,这也是手术的关键所在。新材料和新技术为该类疾病的治疗提供了更多的选择。近年来,对该类疾病的诊疗提出了新的看法。本文主要对AD合并ARSA的诊疗现状及研究进展进行综述。

As a major malformation of the superior arch artery,aberrant right subclavian artery is often combined with aortic dissection,which leads to a more aggressive disease and more complex treatment.At present,there is still no uniform clinical conclusion on the treatment of aortic dissection with aberrant right subclavian artery,especially on the methods of branch revascularization,which is the key to surgery.New materials and technologies has provided more options for treatment.In recent years,new insights into the diagnosis and management of the disease has been provided.This article reviews the current status and recent advances in the management of aortic dissection with aberrant right subclavian artery.