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RELATO DE CASO

Tratamento cirúrgico da compressão do esôfago por anomalia do arco aórtico: relato de caso

Ivo Richter; Hélio Pereira Magalhães; Luiz Miguel Cortez; Douglas Gonçalves; Marli Gonçalves

DOI: 10.1590/S0102-76381991000200009

RESUMO

Paciente adulta, portadora de anomalia vascular congênita do arco aórtico com formação de anel envolvendo traqueia e esôfago, com compressão deste e conseqüente disfagia progressiva. A abordagem cirúrgica foi realizada por toracotomia lateral direita, com ressecção do divertrículo de Kommerell, secção do ligamento arterioso e ligadura simples da artéria subclávia, com regressão total dos sintomas. Não foi observada síndrome de roubo da subclávia ou isquemia do membro superior esquerdo. Os autores discutem o tipo de abordagem e cirurgia para tratamento desta rara anomalia.

ABSTRACT

An adult patient presenting a congenital vascular anomaly of the aortic arch and ring formation, surrounding trachea and esophagus, by compression of the latest was complaining of progressive dysphagia. A surgical approach was performed by right lateral thoracotomy with ressection of the Kommerell diverticulum, section of the arterious ligament and single ligation of the subclavian artery which was followed by total regression of the symptoms. No subclavian steal syndrome or ischemia was observed on the left upper limb. The authors discuss the manner of approach and surgical treatment of this rare anomaly.
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REFERÊNCIAS

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Article receive on terça-feira, 14 de maio de 1991

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