scholarly journals Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic aberrant left subclavian artery

2014 ◽  
Vol 60 (3) ◽  
pp. 776-779 ◽  
Author(s):  
Apostolos T. Mamopoulos ◽  
Bernd Luther
2018 ◽  
Vol 24 (3) ◽  
pp. 322-326 ◽  
Author(s):  
Akira Tempaku ◽  
Terumasa Kuroiwa ◽  
Akimasa Nishio

Purpose Right-sided aortic arch is a rare vessel anomaly with an incidence of 0.1% worldwide. Supra-aortic branches form a mirror image of the left-sided aortic arch or an aberrant left subclavian artery associated with Kommerell diverticulum. Most patients are diagnosed by a difference in blood pressure in each upper extremity or by the presence of left subclavian steal syndrome in their younger age. The diagnosis of onset of ischemic stroke in middle age is rare. Methods We present the case of a female patient who presented with an ischemic stroke in the left posterior circulation area. She had no history of congenital heart malformation. We performed head magnetic resonance imaging, cerebral angiography, and enhanced computed tomography of the aortic arch and major branches. Results The patient had a right-sided aortic arch and an aberrant left subclavian artery. The left subclavian artery was occluded at the proximal portion with a fibrous string. Collateral flow in the anterior cervical subcutaneous area supported left limb perfusion. Conclusion An atheromatous change reduced shunt flow via collateral networks at the anterior cervical region. Congenital subclavian steal supported the ischemic stroke.


2016 ◽  
Vol 64 (1) ◽  
pp. 233-234 ◽  
Author(s):  
Mohammed M. Ahmed ◽  
Dustin Y. Yoon ◽  
Shamit S. Desai ◽  
William H. Pearce

2020 ◽  
Vol 30 (6) ◽  
pp. 892-893
Author(s):  
Toyohide Endo ◽  
Daigo Ochiai ◽  
Mamoru Tanaka

AbstractThe right aortic arch is a congenital vascular anomaly, which may form a vascular ring. However, prenatal identification of the branching pattern of brachiocephalic vessels is often limited. In this paper, we clearly demonstrated the branching pattern of brachiocephalic vessels in a case of right aortic arch with an aberrant left subclavian artery using HDlive Flow imaging.


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