scholarly journals Aberrant right subclavian artery (arteria lusoria) aneurysm with a Kommerell’s diverticulum

2019 ◽  
Vol 18 ◽  
Author(s):  
Elif Coşkun ◽  
Levent Altınay ◽  
Anıl Tekin ◽  
Ufuk Tütün

Abstract The treatment options for aberrant right subclavian artery vary depending on the presence of Kommerell’s diverticulum. Because there is a tendency not to report mortalities of these rare cases in the literature, it is hard to reach a conclusion on treatments from the limited data on post-interventional results in these patients. We report our experience with a 67-year old patient with an aberrant right subclavian aneurysm with Kommerell’s diverticulum, diagnosed by chance.

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Michał Polguj ◽  
Łukasz Chrzanowski ◽  
Jarosław D. Kasprzak ◽  
Ludomir Stefańczyk ◽  
Mirosław Topol ◽  
...  

The most important abnormality of the aortic arch is arguably the presence of an aberrant right subclavian artery (arteria lusoria). If this vessel compresses the adjacent structures, several symptoms may be produced. The aim of the study is to present the morphological and clinical aspects of the aberrant right subclavian artery. Three different databases searched for a review of pertinent literature using strictly predetermined criteria. Of 141 cases, 15 were cadaveric and 126 were clinically documented. The gender distribution of the subjects was 55.3% female and 44.7% male. The mean age of the patients at symptoms onset was49.9±19.4years for all patients but54.0±19.6years and44.9±18.1years for female and male subjects, respectively (P=0.0061). The most common symptoms in this group were dysphagia (71.2%), dyspnea (18.7%), retrosternal pain (17.0%), cough (7.6%), and weight loss (5.9%). The vascular anomalies coexisting with an arteria lusoria were truncus bicaroticus (19.2%), Kommerell’s diverticulum (14.9%), aneurysm of the artery itself (12.8%), and a right sided aortic arch (9.2%). In conclusion, compression of adjacent structures by an aberrant right subclavian artery needs to be differentiated from other conditions presenting dysphagia, dyspnea, retrosternal pain, cough, and weight loss.


2018 ◽  
Vol 7 (1) ◽  
pp. 35-43
Author(s):  
Barbara Maciejewska ◽  
Karolina Kania ◽  
Piotr Kowal ◽  
Bożena Wiskirska-Woźnica

Dysphagia is an underestimated health problem. At the same time, it is a potentially life-threatening condition. Dysphagia in young adults is rare and thus it is rarely discussed in the literature. Vascular anomalies are much less frequent causes of dysphagia than structural pathologies of the digestive system, iatrogenic lesions or neurological causes. This paper presents a case of a 21-year-old woman with escalating dysphagia in the course of a congenital vascular anomaly in the form of a right-sided aortic arch with retroesophageal left subclavian artery (left arteria lusoria) and compression. The paper highlights delayed symptomatology of the congenital defect, reasons behind the long-lasting diagnostic process, and the role of the laryngological – phoniatric examination in order to exclude oral and pharyngeal causes. The differential diagnostics and treatment options are discussed thereinafter.


2012 ◽  
Vol 26 (3) ◽  
pp. 419.e1-419.e4 ◽  
Author(s):  
Bilel Derbel ◽  
Achref Saaidi ◽  
Refk Kasraoui ◽  
Nazih Chaouch ◽  
Fatma Aouini ◽  
...  

Author(s):  
Kemalettin Erdem ◽  
Ahmet Ozden ◽  
Mansur Kursat ◽  
Tarik Ocak ◽  
Bahadir Daglar

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Claudia Barone ◽  
Nicolina Stefania Carucci ◽  
Claudio Romano

Dysphagia is an impairment of swallowing that may involve any structures from the mouth to the stomach. Esophageal dysphagia presents with the sensation of food sticking, pain with swallowing, substernal pressure, or chronic heartburn. There are many causes of esophageal dysphagia, such as motility disorders and mechanical and inflammatory diseases. Infrequently dysphagia arises from extrinsic compression of the esophagus from any vascular anomaly of the aortic arch. The most common embryologic abnormality of the aortic arch is aberrant right subclavian artery, clinically known asarteria lusoria. This abnormality is usually silent. Here, we report a case of six-year-old child presenting to us with a history of progressive dysphagia without respiratory symptoms. A barium esophagogram showed an increase of the physiological esophageal narrowing at the level of aortic arch, while at esophagogastroduodenoscopy there was an extrinsic pulsatile compression of the posterior portion of the esophagus suggesting an extrinsic compression by an aberrant vessel. Angio-CT (computed tomography) scan confirmed the presence of an aberrant right subclavian artery.


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