Simple Endovascular Repair for Symptomatic Aberrant Right Subclavian Artery in a Debilitated Patient

2018 ◽  
Vol 53 (2) ◽  
pp. 154-156
Author(s):  
Ryosuke Kowatari ◽  
Yasuyuki Suzuki ◽  
Kazuyuki Daitoku ◽  
Satoshi Taniguchi ◽  
Shinya Kakehata ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cardiac Surgery ◽  
Subclavian Artery ◽  
Tracheal Stenosis ◽  
Endovascular Repair ◽  
Vascular Ring ◽  
Aberrant Right Subclavian Artery ◽  
Vascular Plug ◽  
The Right ◽  
Extremity Ischemia

We report a simple endovascular repair for symptomatic aberrant right subclavian artery (ARSA) in an 11-year-old girl. She had undergone tracheostomy due to hypoxic encephalopathy after cardiac surgery and suffered from dyspnea. Computed tomography revealed tracheal stenosis caused by a vascular ring made with an ARSA and the right common carotid artery. Transcatheter ARSA embolization using an Amplatzer vascular plug and coils was performed. Symptoms improved within a few days after this intervention and no complications such as upper extremity ischemia were encountered. Computed tomography showed the ARSA around the trachea had reduced in size and tracheal stenosis was improved.

scholarly journals Azygos Lobe Detected by Thoracic Computed Tomography and Frequency of Concomitant Variations

2019 ◽  
Vol 9 (3) ◽  
pp. 177-180
Author(s):  
Gökhan Perincek ◽  
Sema Avci ◽  
Pinar Çeltikçi
Keyword(s):  
Computed Tomography ◽  
General Population ◽  
Carotid Artery ◽  
State Hospital ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Left Carotid Artery ◽  
Thoracic Computed Tomography ◽  
Azygos Lobe ◽  
The Right

Background: The azygos lobe is a rare variation of the right upper lobe of the lung, and prevalence of it in the general population varies widely between 0.1% and 8%. It can be diagnosed easily by thoracic computed tomography. Objective: In this study, by thoracic computed tomography, azygos lobe frequency and associated variations were evaluated. Materials and Methods: In this study, 5854 thoracic computed tomography with and without contrast applied for patients in the Kars Harakani State Hospital Chest Diseases Polyclinic between January 2014 and January 2018 were screened retrospectively. Results: A total of 5854 thoracic computed tomography showed that frequency of azygos lobe was 1.09%. Out of 64 patients with azygos lobe, 36 (56.25%) were male and 28 (43.75%) were female. Bovine artery was found in 8 (12.5%) cases, right-left carotid artery common origin in 3 (4.68%) and aberrant right subclavian artery in 1 (1.56%). Conclusion: The detected azygos lobe frequency is similar to literature and the most common accompanying variation is bovine artery. J Enam Med Col 2019; 9(3): 177-180

Total endovascular repair of a mycotic thoracic aortic aneurysm in a patient with an aberrant right subclavian artery

2020 ◽  
Author(s):  
Kosuke Nakamae ◽  
Takashi Azuma ◽  
Yoshihiko Yokoi ◽  
Hiroshi Niinami
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Subclavian Artery ◽  
Endovascular Repair ◽  
Thoracic Aortic Aneurysm ◽  
Aortic Aneurysms ◽  
Aberrant Right Subclavian Artery ◽  
Anatomical Feature ◽  
Thoracic Aortic Aneurysms ◽  
Arterial Anomaly

Abstract An aberrant right subclavian artery (ARSA) is a rare arterial anomaly. Although a few cases of total endovascular repair for the ARSA aneurysm have been previously reported, anatomical limitations and the possibility of endoleaks remained. In this case, we created 4 holes on the stent graft for each cervical branch, with reference to the preoperative computed tomography findings. This approach might enable us to repair all types of thoracic aortic aneurysms with ARSA with each anatomical feature.

Utility of Pre- and Postoperative Computed Tomography Angiography for the Evaluation of a Complex Vascular Ring

2019 ◽  
Vol 10 (5) ◽  
pp. 654-656
Author(s):  
Philip B. Dydynski ◽  
John S. Austin ◽  
Deborah Kozik ◽  
Bahaaldin Alsoufi
Keyword(s):  
Computed Tomography ◽  
Pulmonary Artery ◽  
Aortic Arch ◽  
Computed Tomography Angiography ◽  
Vascular Ring ◽  
Left Pulmonary Artery ◽  
Aberrant Right Subclavian Artery ◽  
Descending Aorta ◽  
Right Pulmonary Artery ◽  
The Right

We present the case of a neonate born with an unusual complex vascular ring formed by a left-sided aortic arch that had retroesophageal course to join a right-sided descending aorta and a very large right-sided arterial ductus from the right pulmonary artery to the descending aorta. Associated finings included aortic arch hypoplasia, aberrant right subclavian artery, and aberrant origin of the left pulmonary artery from the aorta. We focus on the role of computed tomography angiography in the preoperative and postoperative assessment of this complex anomaly.

scholarly journals Anomalies of the aortic arch in dogs: evaluation with the use of multidetector computed tomography angiography and proposal of an extended classification scheme

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Christiane Schorn ◽  
Nicolai Hildebrandt ◽  
Matthias Schneider ◽  
Sebastian Schaub
Keyword(s):  
Computed Tomography ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Vascular Ring ◽  
Right Aortic Arch ◽  
Aberrant Right Subclavian Artery ◽  
Aortic Arch Anomalies ◽  
Brachiocephalic Trunk ◽  
Different Types

Abstract Background Congenital anomalies of the aortic arch are important as they may be associated with vascular ring anomalies. The most common vascular ring anomaly in dogs is a persistent right aortic arch. However, published data of the distribution of the different types of vascular ring anomalies and other aortic arch anomalies are lacking. The objective of this retrospective descriptive study was to evaluate both the prevalence and the different types of aortic arch anomalies that can be detected using thoracic computed tomography (CT) examination. Archived thoracic CT examinations acquired between 2008 and 2020 at a single institution were retrospectively evaluated by 2 evaluators for the prevalence and type of aortic arch anomaly. Breed, age, and presenting complaint were obtained from the medical record system. Results A total of 213 CT studies were evaluated; 21 dogs (21/213, 9.9%) showed a right aortic arch and a left ligamentum arteriosum with compression of the esophagus. The following incidental additional findings were detected: aberrant left subclavian artery (17/21, 76.2%), branching from the persistent ductus arteriosus (PDA) (1/21, 4.8%), left-sided brachiocephalic trunk (3/21, 14.3%), bicarotid trunk (17/21, 81.0%), double aortic arch (1/21, 4.8%). One hundred ninety two dogs (192/213, 90.1%) showed a left aortic arch without esophageal compression. The following additional abnormalities were obtained in those dogs with left aortic arch: aberrant right subclavian artery (3/192, 1.6%) without clinical signs of esophageal compression, aberrant vessel branching from the aorta into the left caudal lung lobe (2/192, 1.0%), focal dilatation of the left or right subclavian artery (2/192, 1.0%), bicarotid trunk (1/192, 0.5%). Conclusion Similar to previous studies an aberrant left subclavian artery is the most common additional finding in dogs with persistent right aortic arch. Newly, a left-sided brachiocephalic trunk was identified in 14.3% of the dogs with a persistent right aortic arch; no additional compression was caused by the left sided brachiocephalic trunk. Similarly, aberrant right subclavian artery can be an incidental CT finding without causing compression of the esophagus.

Antenatal detection of aberrant subclavian artery (ARSA) by 4D-volume contrast ?maging in mid-trimester ultrasound exam

2021 ◽  
Vol 12 (4) ◽  
pp. 228-233
Author(s):  
Elif Ganime Aygün
Keyword(s):  
Subclavian Artery ◽  
Septal Defect ◽  
Azygos Vein ◽  
Aberrant Right Subclavian Artery ◽  
Flow Mode ◽  
Contrast Imaging ◽  
High Definition ◽  
Small Series ◽  
Antenatal Detection ◽  
The Right

Background and Purpose: To report a small series of ARSA (Aberrant Right Subclavian Artery) cases which were diagnosed by 4-D (Dimensional) ultrasound (Volume Contrast Imaging-A Plane) with high definition flow technique. Methods: Clinical data of total 1859 singleton, low risk pregnancies from the hospital database. Total 13 cases with isolated ARSA cases were identified. Results: Total 13 cases with isolated ARSA cases were identified. Median maternal age was 32 years old. Median gestational age at ultrasound exam was 21 weeks. Eleven of thirteen cases were isolated. Case 3 had a muscular ventricular septal defect (VSD) and case 6 had an aberrant left subclavian artery. All cases were detected by 4D VCI-A with high definition flow technique successfully. One fetus with ARSA who was misdiagnosed as normal by conventional 2-D ultrasound, 4D VCI-A with high definition flow revealed abnormal courses of the right subclavian artery. Course of azygos vein was discriminated from the ARSA in all cases. Conclusion: 4D VCI-A mode activated with HD-flow (High Definition) is a valuable tool for the investigation of outflow tracts of fetal heart and proximal branches of aorta in midtrimester scans and carries some advantages over conventional 2D sonography combined with High Definition Flow mode.

Thoracic Endovascular Repair of Blunt Thoracic Aortic Injury in the Setting of an Aberrant Right Subclavian Artery

2017 ◽  
Vol 42 ◽  
pp. 302.e15-302.e20 ◽  
Author(s):  
Donald G. Harris ◽  
Michael E. Huffner ◽  
Luqman Croal-Abrahams ◽  
Laura DiChiacchio ◽  
Behzad S. Farivar ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Endovascular Repair ◽  
Aortic Injury ◽  
Aberrant Right Subclavian Artery ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Endovascular Repair ◽  
Thoracic Aortic Injury

Diverticulum of Kommerell with Micro Aneurysm, an Aberrant Right Subclavian Artery and Ventricular Septal Defect in a 39 Years Old Female: Case Report

2021 ◽  
Author(s):  
Xiaoming Bian
Keyword(s):  
Ventricular Septal Defect ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Septal Defect ◽  
Aortic Rupture ◽  
Vascular Ring ◽  
Vascular Lesion ◽  
Aberrant Right Subclavian Artery ◽  
Successful Operation ◽  
Diverticulum Of Kommerell

Diverticulum of Kommerell is a congenital anomaly in the development of the primitive embryonic aortic vasculature resulting in either an aberrant left subclavian artery (ALSA) from a right-sided aortic arch (RSAA) or an aberrant right subclavian artery (ARSA) from a left-sided aortic arch (LSAA). Kommerell’s diverticulum (KD), is extremely rare in the general population having prevalence of 0.7–2.0 %. KD with true aneurysmal dilatation like any vascular lesion of the thoracic aorta weakens the vasculature and increases the risk of aortic rupture. Timely surgical intervention is of paramount importance in most of these cases. Variable clinical presentations in patients with KD are either a result of compression of some mediastinal organs or strangulation by the vascular ring from the aberrant subclavian artery (ASA). We report a case of a 39 years old Chinese female with a rare co-existence of a huge KD with a microaneurysm, an aberrant right subclavian artery (ARSA), and ventricular septal defect (VSD). She underwent a successful operation and all her pre-surgical symptoms disappeared.

scholarly journals Right aortic arch with an aberrant left subclavian artery: sonographic features by HDlive Flow imaging

2020 ◽  
Vol 30 (6) ◽  
pp. 892-893
Author(s):  
Toyohide Endo ◽  
Daigo Ochiai ◽  
Mamoru Tanaka
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Vascular Ring ◽  
Vascular Anomaly ◽  
Right Aortic Arch ◽  
Flow Imaging ◽  
Branching Pattern ◽  
Aberrant Left Subclavian Artery ◽  
The Right

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.

scholarly journals Incidental finding of aberrant subclavian artery during computed tomography scan

2015 ◽  
Vol 3 (4) ◽  
pp. 162-164
Author(s):  
Mubarak Mohd Yusof ◽  
Sharini Shamsudin
Keyword(s):  
Computed Tomography ◽  
Weight Loss ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Incidental Finding ◽  
Right Aortic Arch ◽  
Aberrant Right Subclavian Artery ◽  
Computed Tomography Scan ◽  
Tomography Scan

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

Sign in / Sign up

Export Citation Format

Share Document