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中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (12) : 1424 -1426. doi: 10.3877/cma.j.issn.1672-6448.2022.12.024

病例报告

超声诊断新生儿孤立性左锁骨下动脉一例并文献复习
向贵双1,(), 温艳婷1, 刘婷1   
  1. 1. 611130 成都市第五人民医院超声科
  • 收稿日期:2021-05-30 出版日期:2022-12-01
  • 通信作者: 向贵双

Ultrasound diagnosis of isolated left subclavian artery in a newborn: a case report and literature review

Guishuang Xiang1(), Yanting Wen1, Ting Liu1   

  • Received:2021-05-30 Published:2022-12-01
  • Corresponding author: Guishuang Xiang
引用本文:

向贵双, 温艳婷, 刘婷. 超声诊断新生儿孤立性左锁骨下动脉一例并文献复习[J]. 中华医学超声杂志(电子版), 2022, 19(12): 1424-1426.

Guishuang Xiang, Yanting Wen, Ting Liu. Ultrasound diagnosis of isolated left subclavian artery in a newborn: a case report and literature review[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(12): 1424-1426.

图1 孤立性左锁骨下动脉患儿出生后第4天超声心动图胸骨上窝主动脉弓长轴切面显示弓上3个分支注:ARCH为主动脉弓;LCCA为左颈总动脉;RCCA为右颈总动脉;RSA为右锁骨下动脉
图2 孤立性左锁骨下动脉患儿出生后第4天超声心动图胸骨旁大动脉短轴切面显示左肺动脉起始部见动脉导管未闭,左向右分流注:PDA为动脉导管
图3 孤立性左锁骨下动脉患儿出生后第4天颈部血管超声显示左侧椎动脉血流方向与左颈总动脉相反注:LCCA为左颈总动脉;LVA为左椎动脉
图4 孤立性左锁骨下动脉患儿出生后3个月CT血管造影显示左锁骨下动脉靠近左肺动脉且与主动脉弓无连接;左肺动脉起始部可见鸟嘴样动脉导管残迹(箭头所示)注:LSA为左锁骨下动脉;LCCA为左颈总动脉;RCCA为右颈总动脉;RSA为右锁骨下动脉;MPA为主肺动脉;LPA为左肺动脉;RPA为右肺动脉
1
Shuford WH, Sybers RG, Edwards FK. The three types of right aortic arch[J]. Am J Roentgenol Radium Ther Nucl Med, 1970, 109(1): 67-74.
2
Catton KG, Setty SP. Anomalous left subclavian artery from the pulmonary artery in a neonate[J]. Asian Cardiovasc Thorac Ann, 2018, 26(6): 476-478.
3
Stewart JR, Kincaid OW, Edwards JE. An atlas of vascular rings and related malformations of the aortic arch system[M]. Springfield, IL: Charles C.Thomas, 1964: 1-170.
4
Saktheeswaran MK, Krishnamoorthy KM, Sivasankaran S. Isolation of the left subclavian artery: a rare aortic arch anomaly[J]. Cardiol Young, 2015, 25(6): 1203-1205.
5
Carano N, Piazza P, Agnetti A, et al. Congenital pulmonary steal phenomenon associated with tetralogy of Fallot, right aortic arch, and isolation of the left subclavian artery[J]. Pediatr Cardiol, 1997, 18(1): 57-60.
6
王谦, 朱铭, 钟玉敏, 等. 孤立性锁骨下动脉的影像学诊断[J].放射学实践, 2008, 23(11): 1209-1211.
7
Lee JS, Park JY, Ko SM, et al. Isolation of the left subclavian artery with right aortic arch in association with bilateral ductus arteriosus and ventricular septal defect[J]. Korean J Thorac Cardiovasc Surg, 2015, 48(6): 415-418.
8
Luetmer PH, Miller GM. Right aortic arch with isolation of the left subclavian artery: case report and review of the literature[J].Mayo Clin Proc, 1990, 65(3): 407-413.
9
李炜, 马小静, 孙庆军, 等. 孤立性锁骨下动脉的MSCT诊断[J].实用放射学杂志, 2011, 27(6): 876-878, 885.
10
Sagray E, Horner JM, Johnson JN, et al. Right aortic arch and isolated left subclavian artery: prenatal and postnatal echocardiographic and tomographic imaging[J]. CASE (Phila), 2020, 4(5): 347-350.
11
Karolczak MA, Mądry W, Grégoire DJ. Isolation of the left subclavian artery in an infant with tetralogy of Fallot, right aortic arch and DiGeorge syndrome. Echocardiographic diagnostic case study[J]. J Ultrason, 2019, 19(76): 66-70.
12
Te Hoven AS, Clur SA, Andreu JP, et al. Isolated right subclavian artery with interrupted aortic arch, ventricular septal defect, and left ventricular outflow tract obstruction[J]. World J Pediatr Congenit Heart Surg, 2015, 6(2): 298-300.
13
Madan N, Schneider DJ, Jacobs ML. Right aortic arch, isolated left subclavian artery and ductus arteriosus with normal intracardiac anatomy: rare manifestation of chromosome 22q11 deletion[J]. Pediatr Cardiol, 2006, 27(6): 781-783.
14
Chaturvedi K, Prasad D, Ashwath R, et al. Isolated left subclavian artery, complete atrioventricular block, and tricuspid atresia in a neonate[J]. Tex Heart Inst J, 2016, 43(6): 546-549.
15
Verma M, Pandey NN, Ojha V, et al. Isolated left subclavian artery in a right aortic arch: a rare association with distal arch hypoplasia, coarctation and ventricular septal defect[J]. Acta Cardiol, 2021, 76(7): 803-804.
16
Sen S, Mohanty S, Kulkarni S, et al. Isolated subclavian artery: a rare entity revisited[J]. World J Pediatr Congenit Heart Surg, 2016, 7(6): 744-749.
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