关键词: Open surgical repair Osteomesopyknosis Partial claviculectomy Tracheal compression

Mesh : Adult Brachiocephalic Trunk / surgery Humans Male Osteosclerosis / complications Tracheal Stenosis / diagnosis etiology surgery Treatment Outcome

来  源:   DOI:10.1016/j.avsg.2022.01.002

Abstract:
BACKGROUND: The clavicle is a long bone that forms the anterior border of the thoracic inlet. Anatomic abnormalities of the clavicle can lead to compression of the innominate artery and trachea due to mass effect. These anatomic abnormalities can be amenable to surgical resection, which can provide complete resolution of symptoms.
METHODS: We present a case of tracheal compression by the innominate artery in an adult man, caused by a clavicular abnormality due to an underlying bone mineralization disorder, corrected by partial resection of the right clavicle.
RESULTS: The patient underwent successful open surgical resection of his right clavicular head leading to resolution of his tracheal compression by the innominate artery.
CONCLUSIONS: We believe that this is the first description of tracheal compression due to osteomesopyknosis. This case demonstrates that compression of the innominate artery due to a clavicular abnormality can be safely corrected via open surgical resection.
摘要:
背景:锁骨是长骨,形成胸部入口的前边界。由于质量效应,锁骨的解剖异常可导致无名动脉和气管受压。这些解剖异常可以接受手术切除,可以完全解决症状。
方法:我们介绍一例成年男子无名动脉压迫气管的病例,由潜在的骨矿化障碍引起的锁骨异常引起,通过右锁骨部分切除术纠正。
结果:患者接受了成功的右锁骨头开放手术切除,导致无名动脉压迫气管。
结论:我们认为这是首次描述由于骨固缩而导致的气管压迫。此病例表明,由于锁骨异常而导致的无名动脉压迫可以通过开放式手术切除得到安全纠正。
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