scholarly journals Chest Pain in the Patient with Arteria Lusoria: A Case Report

2021 ◽  
Vol 11 (4) ◽  
pp. 310-320
Author(s):  
E. V. Reznik ◽  
Yu. V. Kemez
Keyword(s):  
Chest Pain ◽  
Aortic Arch ◽  
Unknown Origin ◽  
Aberrant Right Subclavian Artery ◽  
Differential Diagnostics ◽  
Coronary Syndrome ◽  
Aortic Arch Anomaly ◽  
Arteria Lusoria ◽  
Contrast Enhanced ◽  
Cardiac Pain

The most common anomaly of the aortic arch and its branches is the aberrant right subclavian artery – arteria lusoria. Usually, it produces dysphagia or dyspnea and chronic coughing.Our purpose is to underline that it is necessary to exclude the anomalies of the branches of the thoracic aorta, including arteria lusoria, in the patients with cardialgia of unknown origin.Clinical case. An 18-year-old female patient without a previously diagnosed chronic pathology was admitted to a hospital with chest pain after emotional stress for about an hour. The ECG revealed a sinus rhythm with a heart rate of 50 per minute, the normal direction of the electrical axis of the heart, the incomplete right bundle branch block, the negative T wave in the lead III. After excluding ischemic heart disease, acute coronary syndrome, pulmonary embolism, contrast-enhanced chest computed tomography revealed an aortic arch anomaly – a. lusoria.Conclusion. A. lusoria may manifest by cardiac pain. In patients with chest pain of unknown origin, it is advisable to include anomalies of the aorta and its branches, including the presence of the lusoria artery, in the range of differential diagnostics.

Dysphagia as an interdisciplinary problem. Difficulties in the diagnostic process of the vascular anomaly: a right-sided aortic arch with aberrant left subclavian artery (case report)

2018 ◽  
Vol 7 (1) ◽  
pp. 35-43
Author(s):  
Barbara Maciejewska ◽  
Karolina Kania ◽  
Piotr Kowal ◽  
Bożena Wiskirska-Woźnica
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Treatment Options ◽  
Vascular Anomaly ◽  
Differential Diagnostics ◽  
Diagnostic Process ◽  
Arteria Lusoria ◽  
Threatening Condition ◽  
Life Threatening

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.

scholarly journals Imaging spectrum and prevalence of variant branching pattern of aortic arch

2019 ◽  
Vol 7 (4) ◽  
pp. 1313
Author(s):  
Vipin Krishnan K. V. ◽  
Varun Narayan ◽  
Niyaz Ibrahim ◽  
John Mathew ◽  
Sheen Maria James
Keyword(s):  
Computed Tomography ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Left Vertebral Artery ◽  
Branching Pattern ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Variant Anatomy

Background: Variant branching patterns of the aortic arch are not infrequent but are commonly under reported. This study was conducted to determine the spectrum of Variant branching pattern of aortic arch and their prevalence using contrast enhanced computed tomography (CECT) images of the cases from a tertiary care centre.Methods:  Contrast enhanced computed tomography (CECT) images of aortic arch region from 1116(629 male and 487 female) cases from 18 to 85 years of age were examined retrospectively. The images were reviewed for normal and variant anatomy of aortic arch and the results were analyzed statistically.Results: Of 1116 patients, 878 (78.6%) cases showed normal and 238 (21.3%) cases had variant branching pattern of the aortic arch. The most common variation was the common origin of brachiocephalic trunk (BCT) and the left common carotid artery (LCCA) which was observed in 160 (14.3%) cases. In 8 (0.7%) cases, BCT and LCCA took origin from a single common trunk arising from the aortic arch. In 60(5.4%) cases, the left vertebral artery (LVA) originated directly from the aortic arch between the origin of the LCCA and left subclavian artery (SCA). 8 (0.7%) cases had aberrant right subclavian artery. Two (0.2%) cases showed right aortic arch.Conclusions: Interventional radiologists and surgeons should be well aware of variant anatomy of aortic arch. Contrast CT is a highly reliable imaging method for demonstrating anatomical features and variations of the arch.

scholarly journals A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Claudia Barone ◽  
Nicolina Stefania Carucci ◽  
Claudio Romano
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Inflammatory Diseases ◽  
Vascular Anomaly ◽  
Aberrant Right Subclavian Artery ◽  
Posterior Portion ◽  
Arteria Lusoria ◽  
Esophageal Dysphagia ◽  
Extrinsic Compression ◽  
Barium Esophagogram

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.

scholarly journals The Aberrant Right Subclavian Artery (Arteria Lusoria): The Morphological and Clinical Aspects of One of the Most Important Variations—A Systematic Study of 141 Reports

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Michał Polguj ◽  
Łukasz Chrzanowski ◽  
Jarosław D. Kasprzak ◽  
Ludomir Stefańczyk ◽  
Mirosław Topol ◽  
...  
Keyword(s):  
Weight Loss ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Clinical Aspects ◽  
Arteria Lusoria ◽  
Retrosternal Pain ◽  
Adjacent Structures ◽  
Kommerell’S Diverticulum ◽  
Male Subjects

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.

scholarly journals Iatrogenic aortic dissection following transradial coronary angiography in a patient with an aberrant right subclavian artery

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094378
Author(s):  
Peijian Wang ◽  
Qiulin Wang ◽  
Chen Bai ◽  
Peng Zhou
Keyword(s):  
Coronary Angiography ◽  
Aortic Dissection ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Descending Aorta ◽  
Coronary Interventions ◽  
Aortic Arch Anomaly ◽  
Iatrogenic Aortic Dissection ◽  
The Right

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.

Tracheotomy bleeding from an unusual tracheo-arterial fistula: involvement of an aberrant right subclavian artery

2010 ◽  
Vol 124 (12) ◽  
pp. 1333-1336 ◽  
Author(s):  
C Desvant ◽  
D Chevalier ◽  
G Mortuaire
Keyword(s):  
Duchenne Muscular Dystrophy ◽  
Muscular Dystrophy ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Assisted Ventilation ◽  
Aberrant Right Subclavian Artery ◽  
Severe Scoliosis ◽  
Arteria Lusoria ◽  
Computed Tomography Scanning ◽  
Mediastinal Vessels

AbstractIntroduction:The development of a tracheo-arterial fistula is a rare but severe complication of tracheotomy. The reported patient presented with such a fistula involving an aberrant right subclavian artery, termed an arteria lusoria, an aortic arch abnormality which is usually asymptomatic.Case report:A 30-year-old man was admitted to our institution for bleeding through his tracheotomy. He had been treated for advanced Duchenne muscular dystrophy, involving invasive assisted ventilation, since the age of 10 years. Surgical exploration and computed tomography scanning revealed a tracheo-arterial fistula involving an aberrant right subclavian artery, associated with severe scoliosis. Emergency, transient haemostasis was achieved by over-inflation of the tracheostomy tube cuff. Aneurysm ablation was successfully achieved as the result of an endovascular interventional radiology procedure.Discussion:Arteria lusoria is one of the most common aortic arch abnormalities. The occurrence of an aneurysm of this artery in a tracheotomised patient has not previously been described. In Duchenne muscular dystrophy patients, spinal deformities may result in thoracic compression, which may alter the anatomical relations of mediastinal vessels. Such deformities are slowly progressive. Thus, vigilance is required in the long term management of Duchenne muscular dystrophy patients with a tracheostomy.

scholarly journals Aberrant right subclavian artery in a cadaver: a case report of an aortic arch anomaly

2020 ◽  
Author(s):  
M. A. Alghamdi ◽  
L. N. AL-Eitan ◽  
B. Elsy ◽  
A. M. Abdalla ◽  
H. Mutwakil Mohammed ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Aortic Arch Anomaly

scholarly journals Dysphagia caused by an aberrant right subclavian artery

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Radhiana H ◽  
Ahmad Razali MR ◽  
Wan Ishlah WL
Keyword(s):  
Computed Tomography ◽  
Multidetector Computed Tomography ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Barium Swallow ◽  
Computed Tomography Scan ◽  
Dysphagia Lusoria ◽  
Aortic Arch Anomaly ◽  
Tomography Scan

An aberrant right subclavian artery is the commonest aortic arch anomaly. Majority of them were asymptomatic. An aberrant subclavian artery is a rare cause of dysphagia in adults. This condition is also known as dysphagia lusoria. We report a case of dysphagia in a 49-year-old woman from an aberrant right subclavian artery. Diagnosis of her condition was made with barium swallow and MDCT (multidetector computed tomography) scan. She was managed conservatively.

Hybrid Repair of Distal Aortic Arch Dissection Aneurysm With Dissected Kommerell Diverticulum

2020 ◽  
Vol 54 (4) ◽  
pp. 375-377
Author(s):  
Konstantinos Tigkiropoulos ◽  
Panagiotis Kousidis ◽  
Ioannis Lazaridis ◽  
Nikolaos Saratzis
Keyword(s):  
Aortic Arch ◽  
Treatment Options ◽  
Aberrant Right Subclavian Artery ◽  
Stent Grafting ◽  
Aortic Arch Anomaly ◽  
Adjacent Structures ◽  
Bilateral Carotid ◽  
Risk Of Rupture ◽  
Hybrid Repair ◽  
Kommerell Diverticulum

Aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum (KD) is a rare congenital aortic arch anomaly. Patients with KD have a high risk of rupture, dissection, compression of adjacent structures, as well as distal embolization symptoms. Several treatment options have been proposed (surgical, hybrid, endovascular), however, a consensus regarding optimal surgical management has not been established yet. We present a successful single-stage hybrid repair of distal aortic arch dissection aneurysm with dissecting KD and ARSA with debranching of innominate and left common carotid artery, bilateral carotid-subclavian bypass, and stent grafting.

Spontaneous aberrant right subclavian arterio-oesophageal fistula in a previously healthy child

2014 ◽  
Vol 25 (7) ◽  
pp. 1425-1427 ◽  
Author(s):  
Michael R. Joynt ◽  
Ronald G. Grifka
Keyword(s):  
Foreign Body ◽  
General Population ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Critically Ill Patients ◽  
Healthy Child ◽  
Rare Complication ◽  
Aberrant Right Subclavian Artery ◽  
Unique Case ◽  
Aortic Arch Anomaly

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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