摘要
目的认识少见疾病迷走右锁骨下动脉（ARSA）先天性因素、影像学特点、临床表现，提高诊断及鉴别诊断能力。方法对内镜、食管造影及胸部CT检查明确诊断的1例ARSA的临床资料进行回顾性分析并复习相关文献。结果本文1例因进食后不适就诊患者，行食管X线钡剂造影示食管上段于第3胸椎水平见由左下向右上走行的压迹，边缘光整，并轻度局限性狭窄，钡剂通过稍迟缓，食管镜检查该处食管壁软、黏膜正常．有血管搏动现象：胸部增强CT检查证实为ARSA。结论ARSA临床少见，大部分无临床症状，少部分因该动脉走行异常出现气管、食管受压或并发主动脉瘤或夹层，常误诊为食管肿瘤，应引起临床的高度关注。
Objective To Know rare disease of Aberrant right subclavian artery （ARSA） and realize the congenital factors, imaging characteristics, clinical manifestations,et ah To improve diagnosis and differential diagnosis ability.Methods Retrospec, tive analysis lcase of ARSA and literature review .Results The case＇s clinical symptoms was discomfort after eating,and so on. Clarify the diagnosis of ARSA by means of esophageal imaging, endoscopy,CT.Conclusions The ARSA was clinical rare disease, most of the victims were no clinical symptoms. A few patients have symptoms of trachea and esophageal pressure or vascular abnormalities. Should cause the height of the clinical attention.
出处
《医学信息》
2012年第6期244-245,共2页
Journal of Medical Information
关键词
右锁骨下动脉
异位
误诊
Right subclavian artery
heterotopia
misdiagnosis
