Abstract：
BACKGROUND: Direct surgery is an important option to treat vertebral artery (VA) stenosis.
METHODS: A patient with symptomatic stenosis at the origin of the right VA underwent transposition of the right VA to the common carotid artery (CCA). Using the sternocleidomastoid sparing approach, the VA was anastomosed to the posterior wall of the CCA by twisting the CCA to expose its posterior wall to face the operative field.
CONCLUSIONS: This approach, consisting of securing the proximal VA and then following it to its distal end, not only preserves the sternocleidomastoid muscle but also protects the sympathetic chains and thoracic duct.
METHODS: A patient with symptomatic stenosis at the origin of the right VA underwent transposition of the right VA to the common carotid artery (CCA). Using the sternocleidomastoid sparing approach, the VA was anastomosed to the posterior wall of the CCA by twisting the CCA to expose its posterior wall to face the operative field.
CONCLUSIONS: This approach, consisting of securing the proximal VA and then following it to its distal end, not only preserves the sternocleidomastoid muscle but also protects the sympathetic chains and thoracic duct.
摘要：
背景：直接手术是治疗椎动脉（VA）狭窄的重要选择。
方法：一名右侧VA起点有症状狭窄的患者接受了右侧VA转位至颈总动脉（CCA）。使用胸锁乳突保留方法，通过扭转CCA以使其后壁面对手术区域，将VA吻合到CCA的后壁。
结论：这种方法，包括固定近端VA，然后跟随其远端，不仅保留了胸锁乳突肌，还保护了交感神经链和胸导管。
方法：一名右侧VA起点有症状狭窄的患者接受了右侧VA转位至颈总动脉（CCA）。使用胸锁乳突保留方法，通过扭转CCA以使其后壁面对手术区域，将VA吻合到CCA的后壁。
结论：这种方法，包括固定近端VA，然后跟随其远端，不仅保留了胸锁乳突肌，还保护了交感神经链和胸导管。
