scholarly journals S2076 Consequences of Going over to the ‘Right’ Side in the Wrong Way: Impact of an Aberrant Subclavian Artery

2021 ◽  
Vol 116 (1) ◽  
pp. S897-S897
Author(s):  
Zaid Ansari ◽  
Shehroz Aslam ◽  
Jacob Moussa ◽  
Mustafa Alani ◽  
Andrew M. Weinberg ◽  
...  
Author(s):  
M.V. Medvedev, N.A. Altynnik, A.I. Zamiatina et all

Six cases of prenatal ultrasound diagnosis of aberrant right subclavian artery at 12+2–14+2 weeks of gestation are presented. To 5 cases earlier published was added a case of prenatal diagnosis of the right aberrant subclavian artery in fetus with multiple congenital abnormalities at 13+3 weeks of gestation. Opportunities of early prenatal ultrasound diagnosis of the right aberrant subclavian artery on first screening are discussed.


2020 ◽  
Vol 95 (4) ◽  
pp. 287-292
Author(s):  
Yo Han Ku ◽  
Kye Hun Kim ◽  
Hyung Yoon Kim ◽  
In Seok Jeong ◽  
Myung Ho Jeong ◽  
...  

Kommerell diverticulum is a rare congenital anomaly of the aortic arch characterized by dilation at the proximal descending aorta, which gives rise to an aberrant subclavian artery. Kommerell diverticulum is usually asymptomatic, but can also be associated with symptoms due to compression of the esophagus or trachea, and can rarely be fatal due to dissection or rupture of the diverticulum. Here, we report a rare case of dysphagia caused by compression of the esophagus by Kommerell diverticulum originating from the right-sided aortic arch.


Author(s):  
Siamak Mohammadi ◽  
Jean-Pierre Normand ◽  
Roch Turcotte ◽  
Pierre Voisine ◽  
Patrick Mathieu ◽  
...  

A 76-year-old man with an ascending arch and proximal descending aortic aneurysm underwent a complex aortic replacement through a sternotomy with ligation of a right aberrant subclavian artery (RASA) distal to the right vertebral artery. The second-stage procedure was performed with a stent-graft deployed within the elephant trunk. At 6- and 12-month follow-up, the RASA was opacified by the patent right vertebral artery. Under ultrasound guidance, the patient's RASA stump was occluded by coils. Management of an RASA during complex hybrid stent-graft procedures is discussed.


2011 ◽  
Vol 17 (3) ◽  
pp. 339-342 ◽  
Author(s):  
H. Ishihara ◽  
D. San Millán Ruíz ◽  
G. Abdo ◽  
F. Asakura ◽  
H. Yilmaz ◽  
...  

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.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Haruka Yoshida ◽  
Shinichiro Ikemoto ◽  
Yasuyuki Tokinaga ◽  
Kanako Ejiri ◽  
Tomoyuki Kawamata

Abstract Background Cannulation of a central venous catheter is sometimes associated with serious complications. When arterial cannulation occurs, attention must be given to removal of a catheter. Case presentation A 62-year-old man was planned for emergency thoracic endovascular aortic repair. After the induction of anesthesia, a central venous catheter was unintentionally inserted into the right subclavian artery. We planned to remove the catheter. Since we considered that surgical repair would be highly invasive for the patient, we decided to remove it using a percutaneous intravascular stent. A stent was inserted through the right axillary artery. The stent was expanded immediately after the catheter was removed. Post-procedural angiography revealed no leakage from the catheter insertion site and no occlusion of the right subclavian and vertebral arteries. There were no obvious hematoma or thrombotic complications. Conclusions A catheter that has been misplaced into the right subclavian artery was safely removed using an intravascular stent.


2021 ◽  
Vol 12 (4) ◽  
pp. 228-233
Author(s):  
Elif Ganime Aygün

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.


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