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Journal articles on the topic 'Aberrant subclavian artery'

Author: Grafiati

Published: 7 June 2025

Last updated: 16 July 2025

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1

Wang, Peijian, Qiulin Wang, Chen Bai, and Peng Zhou. "Iatrogenic aortic dissection following transradial coronary angiography in a patient with an aberrant right subclavian artery." Journal of International Medical Research 48, no. 8 (2020): 030006052094378. http://dx.doi.org/10.1177/0300060520943789.

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An aberrant right subclavian artery is a congenital aortic arch anomaly in which the right subclavian artery originates from the proximal descending aorta. The presence of an aberrant right subclavian artery can make right transradial coronary interventions more difficult and even lead to complications. Iatrogenic intramural hematomas and dissection of aberrant right subclavian arteries during transradial coronary angiography have been previously reported. We herein report a case of iatrogenic aortic dissection following attempts to perform right transradial coronary angiography in a patient with an aberrant right subclavian artery. Clinicians should be vigilant for the presence of an aberrant right subclavian artery during right transradial coronary angiography and ensure gentle manipulation of wires and catheters to avoid complications.

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2

Freed, K., and V. H. Low. "The aberrant subclavian artery." American Journal of Roentgenology 168, no. 2 (1997): 481–84. http://dx.doi.org/10.2214/ajr.168.2.9016231.

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3

Fernando, Rohesh J., Jason M. Altman, Blaine Farmer, and Chandrika Garner. "Aberrant Right Subclavian Artery." Anesthesiology 130, no. 4 (2019): 615–16. http://dx.doi.org/10.1097/aln.0000000000002567.

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4

Bull, Philippe G., and Helmuth Denck. "Aberrant right subclavian artery." European Journal of Vascular Surgery 8, no. 6 (1994): 757–60. http://dx.doi.org/10.1016/s0950-821x(05)80661-9.

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5

Munnell, Edward R. "Aberrant Right Subclavian Artery." Annals of Thoracic Surgery 46, no. 1 (1988): 118. http://dx.doi.org/10.1016/s0003-4975(10)65871-7.

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6

Krupiński, Maciej, Małgorzata Irzyk, Zbigniew Moczulski, Robert Banyś, Ireneusz Dwojak, and Małgorzata Urbańczyk-Zawadzka. "CT evaluation of aberrant right subclavian artery: anatomy and clinical implications." Cardiology in the Young 29, no. 2 (2018): 128–32. http://dx.doi.org/10.1017/s1047951118001907.

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AbstractPurposeThe aim of the study was to perform CT angiography-based evaluation of aberrant right subclavian artery prevalence, anatomy, and its influence on clinical symptoms.MethodsA total of 6833 patients who underwent 64-slice or dual-source CT angiography and those who revealed aberrant right subclavian artery underwent evaluation of its anatomy and were interviewed for the presence of clinical symptoms.ResultsAberrant right subclavian artery was found in 32 (0.47%) patients consisting of 13 males and 19 females, with mean age of 60.8±13.4 years. Among the interviewed 30 (94%) patients, oesophageal compression was observed in 14 cases (47%) and tracheal compression in three cases (10%). None of the patients underwent surgery related to aberrant right subclavian artery. Dysphagia was the most common clinical symptom in nine cases (30%), and in those patients the median distance between aberrant right subclavian artery and trachea was lower (4 mm) than in individuals without dysphagia (7.5 mm) (p = 0.009). The median lumen area of the aberrant right subclavian artery at the level of oesophagus was higher in patients with dysphagia (208 mm2) compared with individuals without dysphagia (108 mm2) (p = 0.01).ConclusionsAberrant right subclavian artery is a rare occurring abnormality in CT angiography. In the evaluated adult population, the most common symptom was dysphagia, which occurred in patients with decreased distance between aberrant right subclavian artery and trachea and increased lumen area of the aberrant artery at the level of compressed oesophagus.

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7

Lamb, KM, N. Moudgill, AK Whisenhunt, et al. "Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm." Vascular 22, no. 6 (2014): 458–63. http://dx.doi.org/10.1177/1708538113518531.

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Aberrant right subclavian artery is a rare anatomical finding of abnormal embryologic development of the dorsal aorta and right subclavian artery. An associated aortic outpouching, or Kommerell diverticulum, may develop at the origin of the aberrant right subclavian artery. Given historically high rates of aneurysm rupture and mortality, early repair is indicated. Successful aneurysm exclusion can be accomplished with thoracic endovascular stent grafting following open carotid-subclavian bypass, maintaining upper extremities perfusion. Such hybrid techniques offer a decrease in mortality and complication rates. Herein, we describe a successful repair of a symptomatic (dysphagia, weight loss) aberrant right subclavian artery with Kommerell diverticulum using this hybrid open-endovascular approach.

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Jan, Sheng-Ling, Ming-Chih Lin, and Sheng-Ching Chan. "Mid-term follow-up study of neonatal isolated aberrant right subclavian artery." Cardiology in the Young 28, no. 8 (2018): 1024–30. http://dx.doi.org/10.1017/s1047951118000872.

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AbstractBackgroundAberrant right subclavian artery is the most common congenital aortic arch anomaly. There are a few reports concerning the clinical manifestations and follow-up of this CHD detected by echocardiographic screening.MethodsA total of 1737 full-term neonates, with a male-to-female ratio of 900:837, received echocardiographic screening. Neonates with or without isolated aberrant right subclavian artery were studied during infancy.ResultsAmong the 1737 cases, a total of 15 (0.86%) female-predominant neonates, with a male-to-female ratio of 6:9, had isolated aberrant right subclavian artery. They were compared with 20 age- and gender-matched normal neonates. There were no significant differences in maternal age, gestational age, or para gravity between the two groups, except for birth size (birth length- and weight-for-age percentiles, p = 0.006 and 0.045, respectively), which was smaller in the aberrant right subclavian artery group. Although there were no significant differences in developmental history, gastrointestinal, or respiratory symptoms, neonates with aberrant right subclavian artery had a higher incidence of mild developmental delay and feeding difficulty than normal infants (21 versus 0%, p = 0.061; 36 versus 20%, p = 0.264, respectively). The growth rates of body length and weight during infancy were not significantly different between the two groups.ConclusionsEchocardiography can be applied as a first-line investigation in the diagnostic work-up for aberrant right subclavian artery. Neonates with aberrant right subclavian artery had a smaller size at birth, although growth rates were not significantly different from those of normal infants. This study does not support an active surgical policy for asymptomatic infants with isolated aberrant right subclavian artery. A larger study and longer follow-up of affected infants is recommended.

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Ansari, Zeeshan Ali, and Kishalay Datta. "Thrombosis of Aberrant Right Subclavian Artery Presenting As Myocardial Infarction." Indian Journal of Emergency Medicine 7, no. 2 (2021): 29–33. http://dx.doi.org/10.21088/ijem.2395.311x.7221.5.

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Aberrant right subclavian artery (ARSA) is a rare anomaly, in which the right subclavian artery arises directly from the aortic arch instead of originating from the brachiocephalic artery. This anomaly should be taken into consideration during surgical procedures around the esophagus, such as esophagectomy. Any unintentional injury of this artery during surgical procedures could be extremely life-threatening. The patient was an 88-year-old male, known case of hypertension, CAD, COPD, presented with the chief complaint of chest pain for 2 days associated with the history of right-hand weakness and numbness for 1 week. ECG has done suggestive of Sinus Rhythm with LBBB Trop I – 6.1 ng/ml Coronary Angiography LMCA- Normal LAD- Mid LAD 80% stenosis LCX- Proximal 99-100% occluded RCA- normal CT ANGIO right upper limb done findings revealed anomalous retro esophageal course of right subclavian artery with narrowing at its origin and a small thrombus in juxta osteal segment. Thrombus of 6.7 cm long segment of the distal third of right brachial artery with the reformation of brachial artery at the level of elbow joint along with thrombosis of right ulnar artery at a short distance from its origin. Keywords: Aberrant right subclavian artery; Thrombosis; Myocardial infarction.

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Burket, Grace J., Mashhood Kakroo, and Mark W. Burket. "Stent placement for long-segment total occlusion of an aberrant right subclavian artery: A 7-year follow-up." SAGE Open Medical Case Reports 8 (January 2020): 2050313X2095374. http://dx.doi.org/10.1177/2050313x20953749.

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An aberrant origin of the right subclavian artery arising as the most distal vessel from the aortic arch is an uncommon but clinically important anomaly. Its abnormal course may result in esophageal compression with dysphagia, or tracheal compression resulting in asthma or stridor, and can greatly complicate radial artery access for coronary angiography. When an aberrant right subclavian artery is obstructed by atherosclerotic plaque, it may produce symptoms of arm ischemia such as pain and weakness. For the past 75 years, the standard treatment approach for symptomatic aberrant right subclavian artery has been surgical correction. There are only three case reports of percutaneous therapy, all for nonocclusive stenosis. There are no reported cases of percutaneous treatment of a completely occluded aberrant right subclavian artery. We report a patient with exertional right arm heaviness and weakness who was found to have a 60-mm long aberrant right subclavian artery occlusion. The blockage was successfully treated with angioplasty and placement of a single stent using percutaneous vascular access. Chest computerized tomography and duplex ultrasonography 5 years after treatment demonstrated a patent stent. At 7-year follow-up, she remained symptom-free and had a normal radial pulse. This case represents the first report of total occlusion of aberrant right subclavian artery treated percutaneously. Long-term durability supports this as a viable alternative to surgery in appropriately selected patients.

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Jha, Nihar, Gregory Selkirk, Matthew Thomas Crockett, and Timothy John Phillips. "Transradial intracranial aneurysm treatment via an aberrant right subclavian artery." BMJ Case Reports 13, no. 6 (2020): e234078. http://dx.doi.org/10.1136/bcr-2019-234078.

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We report two cases of successfully treated intracranial saccular aneurysms via transradial access with aberrant right subclavian artery anatomy. Two patients aged 74 and 82 years with anterior communicating artery aneurysms deemed suitable for endovascular treatment and anomalous aortic arch anatomy (aberrant right subclavian artery) underwent successful treatment with transradial access. Transradial access was obtained in both patients, in the first patient, without prior knowledge of the aortic arch anatomy. Aberrant right subclavian artery anatomy was negotiated, and the aneurysms were successfully treated in both cases with intrasaccular flow disrupting devices (WEB-SL).

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Nuri Tuncer, Osman, Celal Çınar, and Yüksel Atay. "Surgical management of subclavian steal syndrome in a patient with an aberrant right subclavian artery." Turkish Journal of Thoracic and Cardiovascular Surgery 33, no. 1 (2024): 102–5. https://doi.org/10.5606/tgkdc.dergisi.2024.25683.

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The coexistence of subclavian steal syndrome and aberrant right subclavian artery is a very rare condition. Herein, we report a case of a 73-year-old male patient with subclavian steal syndrome who underwent carotid-subclavian bypass surgery. A single supraclavicular incision was made and carotid-subclavian bypass operation was performed using a Dacron graft in the patient. The patient was asymptomatic at the three-month follow-up with no complications. Carotid-subclavian bypass appears to be the most effective method in treating symptomatic cases of subclavian steal syndrome with an aberrant right subclavian artery.

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Yusof, Mubarak Mohd, and Sharini Shamsudin. "Incidental finding of aberrant subclavian artery during computed tomography scan." Journal of Kathmandu Medical College 3, no. 4 (2015): 162–64. http://dx.doi.org/10.3126/jkmc.v3i4.13376.

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Two cases of aberrant subclavian arteries were detected incidentally during computed tomography scan of the thorax for other medical conditions. The patients did not have weight loss or dysphagia lusoria. The origin and course of theaberrant subclavian arteries are related to the anomaly of the aortic arch. The variations of aberrant right subclavian artery with left aortic arch and aberrant left subclavian artery with right aortic arch on computed tomography are discussed.Journal of Kathmandu Medical CollegeVol. 3, No. 4, Oct.-Dec., 2014Page: 162-164

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Oswal, Nilesh, Georgi Christov, Shankar Sridharan, Sachin Khambadkone, Catherine Bull, and Ian Sullivan. "Aberrant subclavian artery origin in tetralogy of Fallot with pulmonary stenosis is associated with chromosomal or genetic abnormality." Cardiology in the Young 24, no. 3 (2013): 478–84. http://dx.doi.org/10.1017/s1047951113000644.

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AbstractWe determined the relationship between aortic arch anatomy in tetralogy of Fallot with pulmonary stenosis and chromosomal or genetic abnormality, by performing analysis of 257 consecutive patients undergoing surgical repair from January, 2003 to March, 2011. Chromosomal or genetic abnormality was identified in 49 of the 257 (19%) patients. These included trisomy 21 (n = 14); chromosome 22q11.2 deletion (n = 16); other chromosomal abnormalities (n = 9); CHARGE (n = 2); Pierre Robin (n = 2); and Kabuki, Alagille, Holt–Oram, Kaufman McKusick, Goldenhar, and PHACE (n = 1 each). Aortic anatomy was classified as left arch with normal branching, right arch with mirror image branching, left arch with aberrant right subclavian artery, or right arch with aberrant left subclavian artery. Associated syndromes occurred in 33 of 203 (16%) patients with left arch and normal branching (odds ratio 1); three of 36 (8%) patients with right arch and mirror image branching (odds ratio 0.4, 95% confidence interval 0.1–1.6); seven of eight (88%) patients with left arch and aberrant right subclavian artery (odds ratio 36, 95% confidence interval 4–302); and six of 10 (60%) patients with right arch and aberrant left subclavian artery (odds ratio 8, 95% confidence interval 2–26). Syndromes were present in 13 of 18 (72%) patients with either right or left aberrant subclavian artery (odds ratio 15, 95% confidence interval 4–45). Syndromes in patients with an aberrant subclavian artery included trisomy 21 (n = 4); chromosome 22q11.2 deletion (n = 5); and Holt–Oram, PHACE, CHARGE, and chromosome 18p deletion (n = 1 each). Aberrant right or left subclavian artery in tetralogy of Fallot with pulmonary stenosis is associated with an increased incidence of chromosomal or genetic abnormality, whereas right aortic arch with mirror image branching is not. The assessment of aortic arch anatomy at prenatal diagnosis can assist counselling.

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Agrawal, H., and E. R. Volkmann. "Aberrant right subclavian artery aneurysm." Internal Medicine Journal 41, no. 8 (2011): 641–42. http://dx.doi.org/10.1111/j.1445-5994.2011.02542.x.

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Lacroix, Valerie, Parla Astarci, Devaux Philippe, et al. "Endovascular Treatment of an Aneurysmal Aberrant Right Subclavian Artery." Journal of Endovascular Therapy 10, no. 2 (2003): 190–94. http://dx.doi.org/10.1177/152660280301000205.

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Purpose: To describe combined endovascular and surgical management of a complex aneurysmal aberrant right subclavian artery (RSA). Case Report: A 75-year-old obese man with severe chronic obstructive pulmonary disease was referred for treatment of a 6.8-cm aneurysm of an aberrant right subclavian artery. A stent-graft was deployed in the proximal part of the descending aorta to cover the origin of the dilated aberrant RSA, and then a venous carotid-subclavian bypass was made to restore blood flow in the right arm. In a second stage, the prevertebral segment of the aberrant RSA was embolized to avoid retrograde perfusion of the aneurysm. Conclusions: Combined endovascular and surgical treatment of an aneurysmal aberrant subclavian artery is feasible, safe, and effective. This less invasive approach could be the treatment of choice in high-risk patients.

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Kim, Sungbin, Kyung Nyeo Jeon, and Kyungsoo Bae. "Aberrant Left Subclavian Artery-Esophageal Fistula in a Patient with a Prolonged Use of Nasogastric Tube: A Case Report and Literature Review." Diagnostics 11, no. 2 (2021): 195. http://dx.doi.org/10.3390/diagnostics11020195.

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Arterial-esophageal fistula is a rare but potentially fatal complication. Right aortic arch with aberrant left subclavian artery is a rare congenital vascular anomaly that can cause esophageal compression, particularly when the proximal portion of the aberrant subclavian artery forms a Kommerell’s diverticulum. Prolonged use of a nasogastric tube can cause pressure necrosis of the esophagus. We report a patient with massive gastrointestinal bleeding secondary to aberrant left subclavian artery-esophageal fistula after a prolonged use of nasogastric tube. A high index of suspicion is essential for better prognosis when a patient with congenital aortic arch anomaly shows upper gastrointestinal hemorrhage.

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Joynt, Michael R., and Ronald G. Grifka. "Spontaneous aberrant right subclavian arterio-oesophageal fistula in a previously healthy child." Cardiology in the Young 25, no. 7 (2014): 1425–27. http://dx.doi.org/10.1017/s1047951114002388.

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AbstractAn aberrant right subclavian artery arising from a left aortic arch is the most frequently described congenital aortic arch anomaly, occurring in 0.5 to 2.3% of the general population. Despite the retro-oesophageal course of the aberrant subclavian artery, an arterio-oesophageal fistula is an uncommon finding, only previously reported as a very rare complication in critically ill patients with oesophageal instrumentation or foreign body ingestion. We describe a unique case of a spontaneous aberrant right subclavian arterio-oesophageal fistula without an inciting event in a 17-month-child.

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Bautista-Pérez-Gavilán, Alejandro, Denya Sánchez-Quintero, Ana Gilabert-García, et al. "A Rare, Relapsing Kommerell Diverticulum – A Case Report." Asploro Journal of Biomedical and Clinical Case Reports 6, no. 1 (2023): 23–29. http://dx.doi.org/10.36502/2023/asjbccr.6285.

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Kommerell diverticulums are an uncommon congenital vascular disease involving an aberrant origin of the right or left subclavian artery and a dilation of its root. Here, we present the case of a 44-year-old woman with a relapse of a surgically repaired aberrant subclavian artery with a Kommerell diverticulum.

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Grigoriță, Laura, Monica-Adriana Vaida, and Adelina Jianu. "An Aberrant Subclavius Posticus Muscle: A Case Report." Medical Principles and Practice 27, no. 6 (2018): 579–81. http://dx.doi.org/10.1159/000491931.

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Objective: An aberrant subclavius posticus muscle was found during routine dissection of the left infraclavicular fossa of a 60-year-old male cadaver. Presentation: This aberrant muscle arises antero-medially, from the costoclavicular ligament, runs postero-laterally, over the trunks of the brachial plexus, and postero-lateral has a common insertion with the omohyoid muscle. Conclusion: The presence of such an aberrant muscle may cause a dynamic compression of the subclavian artery and brachial plexus.

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Nair, Kannan R., Harilal Vasu, Aju Jacob, and Bashi V. Velayudhan. "Repair of Left Subclavian Artery and Aberrant Right Subclavian Artery Aneurysms." Asian Cardiovascular and Thoracic Annals 18, no. 6 (2010): 581–82. http://dx.doi.org/10.1177/0218492310384156.

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Rattagan, Patricio, Agustín Girassolli, Marcelo Pecorari, Juan Arellano, Pablo Pérez Baliño, and Miguel Payaslian. "Arteria subclavia aberrante, diagnóstico angiográfico." Revista Argentina de Cardioangiología Intervencionista 8, no. 3 (2017): 147–48. http://dx.doi.org/10.30567/raci/201703/0147-0148.

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Rao, Suresh, and Syam Prasad Darla. "Aberrant Right Subclavian Artery with Retroesophageal Course as a Reason of Dysphagia: A Case Report." Journal of Medicine and Health Research 9, no. 2 (2024): 15–19. http://dx.doi.org/10.56557/jomahr/2024/v9i28880.

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The most prevalent vascular anomaly of the aortic arch is the aberrant right subclavian artery, which is a rare embryological aberration. It is an anatomical variation of the right subclavian artery, emerging as the last branch of aortic arch. A surgical operation involving the esophagus should take this abnormality into account. Any inadvertent damage to this artery while undergoing surgery has a high risk of death. Even though aberrant right subclavian artery can be difficult to treat during an esophagectomy, if it is identified beforehand, careful dissection of the retroesophageal area during the procedure can help avoid damaging the abnormal artery and its related consequences.

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Elghoneimy, Yasser Farag, Medhat Reda Nashy, Ahmed Elsayed Mahmoud, Asayel Ali Alruwaili, and Assayl Rabea Alotaibi. "Three Rare Structural Anomalies: Right Aberrant Subclavian Artery, Kommerell’s Diverticulum, and Isolated Left Vertebral Artery All Associated with Type B Aortic Dissection." Case Reports in Surgery 2019 (March 17, 2019): 1–4. http://dx.doi.org/10.1155/2019/7927613.

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Introduction and Background. Right aberrant subclavian artery accounts for 0.5-1.8% of the population as the most frequently encountered aortic arch anomaly, while the prevalence of an isolated left vertebral artery ranges from 3 to 8%. Despite the low prevalence and the asymptomatic presentation of these structural anomalies, the development of cardiovascular complications and aneurysmal formation could happen as in Kommerell’s diverticulum in a complicated right aberrant subclavian artery, which can undergo aneurysmal degeneration and dissection. Depending on the severity and the degree of the symptoms, the management of the patient can be determined. Case Presentation. A 51-year-old male hypertensive Pakistani patient was admitted complaining of chest and back pain; a CT of the aorta was done and showed type B aortic dissection associated with a right aberrant subclavian artery with an isolated left vertebral artery. A thoracic endovascular aneurysmal repair was done, and the patient improved afterward. Conclusion. The prevalence of these structural anomalies, the right aberrant subclavian artery, Kommerell’s diverticulum, and isolated left vertebral artery with type B aortic dissection, is uncommon. Therefore, the earlier the diagnosis, the better the treatment. This is the first case report explaining the occurrence of these vascular anomalies together in Saudi Arabia.

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Dehghan, Alireza, Sara Haseli, Pedram Keshavarz, Marzieh Ahmadi, and Pooyan Dehghani. "Be Aware of Aberrant Right Subclavian Artery Origin Before Aortic Coarctation Stenting: A Case Report Study." Vascular and Endovascular Surgery 53, no. 7 (2019): 609–12. http://dx.doi.org/10.1177/1538574419858827.

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The subclavian steal syndrome (SSS), also called subclavian steal steno-occlusive disease, is defined as reversal of the vertebral artery flow secondary to significant hemodynamically ipsilateral occlusion or stenosis of the proximal subclavian artery. It is usually seen secondary to atherosclerosis and aberrant right subclavian artery (ARSA), resulting in SSS which is even less common. Aberrant right subclavian artery is a kind of vascular anomaly associated with coarctation of the aorta (CoA). It usually originates from the descending aorta distal to the site of CoA. Here, we present a young man who was a case of ARSA and CoA. He developed SSS after transcatheter aortic stenting secondary to unusual origin of ARSA from the site of CoA. Awareness of this rare anomaly helps to overcome this complication in patients undergoing interventional stenting for CoA and ARSA with anomalous origin.

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Proto, AV, NW Cuthbert, and L. Raider. "Aberrant right subclavian artery: further observations." American Journal of Roentgenology 148, no. 2 (1987): 253–57. http://dx.doi.org/10.2214/ajr.148.2.253.

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Chapman, Jason R., Shahriar Sedghi, Benjamin D. Christie, Don K. Nakayama, and Julie L. Wynne. "Aberrant Right Subclavian Artery–Esophageal Fistula." American Surgeon 76, no. 12 (2010): 1430–32. http://dx.doi.org/10.1177/000313481007601237.

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Farhang, Borzoo, Nitin Garg, William M. Stone, Joseph J. Ricotta, and Thomas C. Bower. "Aberrant Subclavian Artery: Presentation and Outcomes." Journal of Vascular Surgery 54, no. 5 (2011): 1542. http://dx.doi.org/10.1016/j.jvs.2011.09.023.

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Al-Badri, Ahmed, and Wael Nasser. "Aberrant Right Subclavian Artery - Esophageal Fistula." Chest 142, no. 4 (2012): 1014A. http://dx.doi.org/10.1378/chest.1386445.

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Mohammed, SallamTaha, MohammedSamir Mokhtar Elwan, and SayedSaid Rabie Mohamed. "Dysphagia lusoria: Aberrant right subclavian artery." Hamdan Medical Journal 14, no. 1 (2021): 39. http://dx.doi.org/10.4103/hmj.hmj_48_20.

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Aslanov, A. D., R. M. Kalibatov, O. E. Logvina, L. Yu Kardanova, and F. Al-Ibrahim. "Surgical treatment of aberrant subclavian artery." Khirurgiya. Zhurnal im. N.I. Pirogova, no. 8 (2023): 87. http://dx.doi.org/10.17116/hirurgia202308187.

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Isselbacher, Eric M., and Jordan P. Bloom. "Aberrant Subclavian Artery in Heritable Aortopathies." Journal of the American College of Cardiology 81, no. 10 (2023): 992–93. http://dx.doi.org/10.1016/j.jacc.2023.01.020.

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Ionescu, C. A., Irina Pacu, and H. Haradja. "Aberrant right subclavian artery - a marker for chromosomal abnormalities?" ARS Medica Tomitana 18, no. 4 (2012): 164–67. http://dx.doi.org/10.2478/v10307-012-0040-8.

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Abstract The aberrant right subclavian artery or the aberrant right subclavian artery syndrome is a rare anatomical variant of the right subclavian artery origin but it is the most common form of congenital anomaly of the aortic arch. The normal or abnormal appearance of the aortic arch can be explained by the regression or the persistence of one or other of the two embryonic aortic arches. The regression of the right aortic arch after the origin of the right subclavian artery will result in a normal aspect of left aortic arch with normal vascular anatomy. While the right ductus arteriosus is regressing, the left one persists. This anomaly is apparently found in the general population in approximately 0.5-1.4% of the cases and in approximately 3% of cases with congenital heart malformations. The present review is focus on the prevalence of aberrant right subclavian artery in Down syndrome. Until present it is known that ultrasound evaluation in the screening programs for Down syndrome is of uncertain value and studies on larger number of cases are reconsidered. In addition we suggest that the echocardiographic examination in the first and second trimesters should be included as a first step of the diagnosis in such congenital anomalies.

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Tavares, T. G., C. V. B. Lima, L. P. Romão, et al. "Aberrant right subclavian artery in a dog ˗ case report." Arquivo Brasileiro de Medicina Veterinária e Zootecnia 72, no. 6 (2020): 2266–70. http://dx.doi.org/10.1590/1678-4162-12078.

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ABSTRACT The brachiocephalic trunk and the left subclavian artery originate from the aortic arch, and both supply blood to the head, neck, and thoracic limbs. Anatomical variations, such as an aberrant right subclavian artery, are congenital conditions rarely observed in dogs, Thus, the objective of the present report was to describe a case of aberrant right subclavian artery in a 9-year-old Dalmatian. However, this anomaly was a finding in which the patient was asymptomatic during its 9 years of life and only at this age did he exhibit signs including sialorrhea, vomiting, hyporexia, and noisy deglutition. Blood count, biochemical profile, and thoracic radiography led to a diagnosis of megaesophagus and aspiration pneumonia. Despite the recommended treatment, the patient did not respond well; as such, the owner elected to euthanize the animal. On necropsy, the right subclavian artery originated directly from the aortic arch, followed a route from left to right dorsally to the esophagus, and then formed an impression of the vascular path over the muscular wall of the esophagus. The esophagus, in turn, exhibited a flaccid wall and dilation in the caudal portion to the vascular path made by the ectopic position of the right subclavian artery.

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Turbendian, Harma K., Andrew Mesher, and Max B. Mitchell. "Supraclavicular Translocation of Aberrant Left Subclavian Artery for Vascular Ring Division and Resection of Kommerell’s Diverticulum." World Journal for Pediatric and Congenital Heart Surgery 11, no. 1 (2019): 108–9. http://dx.doi.org/10.1177/2150135119888157.

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Intrathoracic left subclavian to common carotid artery translocation is advocated for patients undergoing vascular ring division in the setting of an enlarged Kommerell’s diverticulum and aberrant left subclavian artery. This approach poses technical challenges in larger patients and patients with unfavorable body habitus. Supraclavicular left subclavian artery to common carotid translocation greatly simplifies this procedure in select patients.

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Kopp, Jason, Ahmad Irshaid, Justin Baker, John Fitzsimmons, and Judith C. Lin. "Aberrant Right Subclavian Artery: Cadaver Case Report." International Journal of Medical Students 10, no. 4 (2023): 413–16. http://dx.doi.org/10.5195/ijms.2022.1647.

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While examining the anatomy of a cadaver in a medical school gross anatomy course, an aortic arch anomaly was discovered. This variant is consistent with an aberrant right subclavian artery (ARSA). In this variant the right subclavian artery branches from the most distal part of the aortic arch and runs both retrotracheal and retroesophageal as it courses to the right shoulder. This variant is a result of aberrant development of the aortic arch and may include presenting symptoms such as dysphagia and shortness of breath, if any at all. Additional to the ARSA exists a common bicarotid trunk and a direct branching of the left vertebral artery from the aortic arch, both of which are rare anomalies. The cadaver’s medical history includes dysphagia and stretched esophagus, although the severity is unknown. This case report draws attention to these rare anatomical anomalies and includes a discussion of the most common clinical presentation, and surgical implications of an aberrant right subclavian artery anomaly.

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Koc, Gonca, Selim Doganay, Sureyya Burcu Gorkem, Mehmet Sait Dogan, and Abdulhakim Coskun. "The Right Aortic Arch with Aberrant Left Subclavian Artery as a Cause of Dysphagia Lusoria." Journal of Nepal Paediatric Society 36, no. 1 (2016): 97–99. http://dx.doi.org/10.3126/jnps.v36i1.14584.

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The right aortic arch with aberrant left subclavian artery is a rare vascular anomaly that usually does not cause any symptoms and is encountered in the adult age group incidentally. We report a paediatric case presented with dysphagia lusoria resulted from right aortic arch with aberrant left subclavian artery with the imaging findings.J Nepal Paediatr Soc 2016;36(1):97-99.

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38

Suthananthan, Arul, and Kishore Sieunarine. "Innovative Use of an Amplatzer Septal Occluder for Occlusion of a Large Right Subclavian Artery Aneurysm and Reconstruction of the Posterior Aortic Arch Wall." Vascular and Endovascular Surgery 46, no. 5 (2012): 401–4. http://dx.doi.org/10.1177/1538574412449076.

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Purpose: To highlight the efficacy of the Amplatzer septal occluder in endovascular exclusion of an aberrant right subclavian artery aneurysm and reconstruction of the posterior aortic arch wall for subsequent endovascular placement of a thoracic graft. Case Report:A 73-year-old lady with prohibitive surgical risk was found to have a 35 × 39 mm aberrant right subclavian artery aneurysm as well as a 7.6 cm wide thoracic aortic aneurysm. Repair of both defects was performed endoluminally with the patient awake. An Amplatzer septal occluder was used for successful exclusion of the subclavian artery. Additionally, the device enabled reconstruction of the posterior aortic arch wall, thereby providing a landing zone for subsequent placement of a custom-made thoracic endograft. Conclusion: The Amplatzer septal occluder provides an innovative endovascular alternative for complex, large subclavian artery aneurysms.

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La Regina, Davide, Giorgio Prouse, Francesco Mongelli, and Ramon Pini. "Two-step treatment of dysphagia lusoria: robotic-assisted resection of aberrant right subclavian artery following aortic debranching." European Journal of Cardio-Thoracic Surgery 58, no. 5 (2020): 1093–94. http://dx.doi.org/10.1093/ejcts/ezaa182.

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Abstract A 69-year-old female suffering from severe dysphagia due to an aberrant right subclavian artery was treated with a two-step approach. A right carotid-subclavian bypass was followed 2 weeks later by a robotic-assisted thoracoscopic resection of the aberrant right subclavian artery. The postoperative course was uneventful, and the patient immediately recovered from her dysphagia. In our case, the robotic-assisted technology offered major advantages and, based on our experience, may be useful in the treatment of this rare disease.

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Liu, Ya-dong, Zhi-qiang Li, Jing-jing Fu, and Ya-jun E. "A rare anomalous origin of right vertebral artery with double branch: First case report." Interventional Neuroradiology 24, no. 2 (2017): 225–28. http://dx.doi.org/10.1177/1591019917733126.

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Vertebral artery origin anomalies are typically incidental findings during angiography. We present an extremely rare variant in which the right vertebral artery has a double origin from the right subclavian artery and right common carotid artery in association with an aberrant right subclavian artery, which has never been reported before.

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Pradhan, Dr Neeta P., Dr Shreepad M. Dr.Shreepad M, Dr YuvrajSawant Dr.YuvrajSawant, Dr Kishor M. Shinde, and Dr Suchit R. Patil. "Right Aortic Arch with Aberrant Left Subclavian Artery : A Case Report." Indian Journal of Applied Research 4, no. 7 (2011): 377–79. http://dx.doi.org/10.15373/2249555x/july2014/117.

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42

Mennis, N., B. Zouita, D. Basraoui, and H. Jalal. "Arteria Lusoria Associated with a Bicarotid Trunk: Case Report and Review of the Litterature." Scholars Journal of Medical Case Reports 9, no. 7 (2021): 720–22. http://dx.doi.org/10.36347/sjmcr.2021.v09i07.008.

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Arteria lusoria or retroesophageal right subclavian artery is the most common aortic arch malformation, accounting for 0.5-2.5% of cases. It is mostly aymptomatic, but can also be detected in patients with symptoms such as dyspnea, dysphagia or even recurrent respiratory infections. A combination of an aberrant right subclavian artery (ARSA) and a bicarotid trunk is extremely rare with a prevalence of <0,05% [1]. We present the case of a 3 months old girl who presented with a wheezing dyspnea. She underwent a computed tomography of the chest, and incidental anomalies of the aortic arch branches were found. A symptomatic aberrant right subclavian artery and bicarotid trunk, which was found, are rare and usually incidental findings.

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Bednarkiewicz, Marek, Ivan Bruschweiler, and Jan T. Christenson. "Undiagnosed Aberrant Right Subclavian Artery: Pitfall in Aortic Arch Surgery." Cardiovascular Surgery 11, no. 1 (2003): 61–63. http://dx.doi.org/10.1177/096721090301100111.

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Selected cerebral perfusion as brain protection via right subclavian artery during aortic arch aneurysm repair adds safety, but may be jeopardized by aortic arch anomalies not readily recognized preoperatively. We describe a case of transverse aortic arch aneurysm repair where an undiagnosed aberrant right subclavian artery was cannulated for selective brain protection.

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Kopp, Reinhard, Ingrid Wizgall, Eckart Kreuzer, et al. "Surgical and Endovascular Treatment of Symptomatic Aberrant Right Subclavian Artery (Arteria Lusoria)." Vascular 15, no. 2 (2007): 84–91. http://dx.doi.org/10.2310/6670.2007.00018.

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Right aberrant subclavian artery, also called arteria lusoria, is one of the most common intrathoracic arterial anomalies. Although mostly asymptomatic, the retroesophageal and retrotracheal course of the lusorian artery might result in unspecific thoracic pain, dysphagia, dyspnea, arterioesophageal or arteriotracheal fistulae with hematemesis or hemoptysis, and aneurysmal formation with relevant risk of rupture. The purpose was to present our experience with six patients with a symptomatic aberrant right subclavian artery, two patients with dysphagia or dyspnea caused by a nonaneurysmal lusorian artery, and four patients with arteria lusoria aneurysms. The operative procedures performed are described and discussed in view of the data reported in the literature. According to the classification of the lusorian artery pathology, a combined intervention with right subclavian artery transposition, distal or proximal lusorian artery ligation or proximal endovascular occlusion for nonaneurysmal disease, or endovascular thoracic aortic stent graft implantation for lusorian artery aneurysms seems to be an additional and minimally invasive approach with promising midterm results.

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Fu, Jiayu, Chunjian Shen, Shun Gao, et al. "Staging Surgery for The Treatment of Aortic Arch Aneurysm Combined with Aberrant Bilateral Subclavian Artery, Persistent Left Superior Vena Cava and Airway Compression: A Case Report." Heart Surgery Forum 22, no. 6 (2019): E448—E451. http://dx.doi.org/10.1532/hsf.2613.

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Background: To describe staging surgery for the treatment of a patient with aortic arch aneurysm combined with aberrant bilateral subclavian artery, persistent left superior vena cava (PLSVC), and airway compression. Case report: A 42-year-old female was hospitalized for aortic arch aneurysm involving aberrant bilateral subclavian artery, PLSVC, and airway compression. The patient's aneurysm was successfully treated by stage I surgery, including total aortic arch replacement and stented elephant trunk procedure and stage II surgery, including tracheal stenting and tracheotomy. Aortic CTA examination showed an unobstructed lumen and a good stent position without tracheal stent migration. Regular postoperative follow-up showed no complications, such as dyspnea, cough, and sputum, or other discomfort symptoms. Conclusions: Total aortic arch replacement, elephant trunk surgery, and second-stage tracheal stent surgery are effective and safe for the treatment of aortic arch aneurysm combined with aberrant bilateral subclavian artery, PLSVC, and airway compression.

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Wijenayaka, P. R. C., and U. C. P. Perera. "A Fatal Case of Ruptured Aberrant Left Subclavian Artery into the Oesophagus." Medico-Legal Journal of Sri Lanka 11, no. 2 (2023): 29–31. http://dx.doi.org/10.4038/mljsl.v11i2.7487.

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A right-sided aortic arch is a rare congenital abnormality and could be sometimes associated with an aberrant left subclavian artery which runs behind the oesophagus. It is usually incidentally diagnosed during adulthood unless it gives pressure effects on the adjacent structures. Here we present a case of 35-year-old mother with a period of amenorrhea of 9 weeks who scummed to death due to massive bleeding following ruptured aberrant left subclavian artery into the oesophagus.

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Tomita, Hideshi, Shigeto Fuse, and Shunzo Chiba. "Coarctation of persistent right fifth aortic arch and pulmonary sequestration." Cardiology in the Young 8, no. 4 (1998): 509–11. http://dx.doi.org/10.1017/s1047951100007198.

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AbstractA 41-day-old boy was transferred to our department with severe congestive heart failure. Digital subtraction counter current aortography, and antegrade aortography, revealed coarctation of a persistent right fifth aortic arch, stenosis of the origin of an aberrant left subclavian artery, and sequestration of the lower lobe of the right lung.As his heart failure seemed to be caused not only by pressure overload to the left ventricle following coarctation, but also by the volume load associated with the shunting effect of the pulmonary sequestration, we performed transcatheter balloon dilation of the coarctation and the origin of the aberrant subclavian artery, together with embolization of the aberrant pulmonary artery. His heart failure responded dramatically to these procedures.

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48

Kelly, Michael D. "Endoscopy and the Aberrant Right Subclavian Artery." American Surgeon 73, no. 12 (2007): 1259–61. http://dx.doi.org/10.1177/000313480707301214.

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The aberrant right subclavian artery is present in 0.4 per cent of the population. It is usually asymptomatic and only rarely causes symptomatic esophageal compression, a condition known as dysphagia lusoria. It was diagnosed in one of 920 patients undergoing diagnostic endoscopy (223 for dysphagia) and characterized by CT scan. It is important for clinicians to be aware of this condition and that the artery may be visible at endoscopy.

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Osawa, Hiroshi, Daisuke Shinohara, Kouan Orii, et al. "Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery." Case Reports in Vascular Medicine 2013 (2013): 1–3. http://dx.doi.org/10.1155/2013/840804.

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Right aortic arch with Kommerell’s diverticulum is a very rare situation. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum. However planning the strategy of operation is difficult without a 3D imaging. We report a case of a 57-year-old man with right aortic arch, Kommerell’s diverticulum, and aberrant left subclavian artery. After a 3D-CT imaging, the patient underwent descending aortic replacement without reconstruction of aberrant left subclavian artery. After operation, there was no signs or symptoms of ischemia of the left arm. If the reconstruction of the aberrant subclavian artery was too difficult, closing its orifice is an acceptable decision. It has been found advantageous because of a decrease blood loss and a shorter cardiopulmonary bypass duration. If an ischemia of the arm is noticed, additional reconstruction will have to be considered. 3D-CT imaging was very useful to have a proper orientation and plan for the operative strategy.

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Ishihara, H., D. San Millán Ruíz, G. Abdo, et al. "Combination of Rare Right Arterial Variation with Anomalous Origins of the Vertebral Artery, Aberrant Subclavian Artery and Persistent Trigeminal Artery." Interventional Neuroradiology 17, no. 3 (2011): 339–42. http://dx.doi.org/10.1177/159101991101700309.

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A 32-year-old woman hospitalized for subarachnoid hemorrhage showed rare arterial variation on the right side with anomalous origins of the vertebral artery, aberrant subclavian artery and persistent trigeminal artery. Angiography showed the right vertebral artery to originate from the right common carotid artery, the right subclavian artery to arise separately from the descending aorta, and persistent trigeminal artery on the right side. The possible embryonic mechanism of this previously unreported variant combination is discussed.

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