scholarly journals Aberrant right subclavian artery - a marker for chromosomal abnormalities?

2012 ◽  
Vol 18 (4) ◽  
pp. 164-167
Author(s):  
C.A. Ionescu ◽  
Irina Pacu ◽  
H Haradja
Keyword(s):  
Down Syndrome ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Ductus Arteriosus ◽  
Aberrant Right Subclavian Artery ◽  
Anatomical Variant ◽  
Screening Programs ◽  
Ultrasound Evaluation ◽  
Congenital Heart Malformations ◽  
The Right

Abstract The aberrant right subclavian artery or the aberrant right subclavian artery syndrome is a rare anatomical variant of the right subclavian artery origin but it is the most common form of congenital anomaly of the aortic arch. The normal or abnormal appearance of the aortic arch can be explained by the regression or the persistence of one or other of the two embryonic aortic arches. The regression of the right aortic arch after the origin of the right subclavian artery will result in a normal aspect of left aortic arch with normal vascular anatomy. While the right ductus arteriosus is regressing, the left one persists. This anomaly is apparently found in the general population in approximately 0.5-1.4% of the cases and in approximately 3% of cases with congenital heart malformations. The present review is focus on the prevalence of aberrant right subclavian artery in Down syndrome. Until present it is known that ultrasound evaluation in the screening programs for Down syndrome is of uncertain value and studies on larger number of cases are reconsidered. In addition we suggest that the echocardiographic examination in the first and second trimesters should be included as a first step of the diagnosis in such congenital anomalies.

Aberrant right subclavian artery: embryology, prenatal diagnosis and clinical significance

Ultrasound ◽  
2021 ◽  
pp. 1742271X2110572
Author(s):  
Rachel Annetta ◽  
Debbie Nisbet ◽  
Edward O’Mahony ◽  
Ricardo Palma-Dias
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Chromosomal Abnormalities ◽  
Diagnostic Testing ◽  
Aberrant Right Subclavian Artery ◽  
Ultrasound Evaluation ◽  
Brachiocephalic Trunk ◽  
Ultrasound Findings ◽  
22Q11.2 Microdeletion ◽  
The Right

Introduction The right subclavian artery normally arises as the first vessel from the brachiocephalic trunk. An aberrant right subclavian artery (ARSA) arises directly from the aortic arch and crosses behind the trachea towards the right arm. This variant occurs in approximately 1–2% of the population; however, the frequency increases in individuals with chromosomal abnormalities such as trisomy 21 and 22q11.2 microdeletion. Prenatal identification of ARSA therefore has a role in screening for such conditions. Methods Databases were searched for studies reporting the prenatal ultrasound evaluation of ARSA and its frequency in normal fetuses and in those with chromosomal abnormalities. Results A total of 23 studies were evaluated. Feasibility for the ultrasound evaluation of ARSA was 85–95%. The sonographic detection of ARSA is best in the three-vessel trachea view; however, sagittal and coronal imaging of the aortic arch may be useful. ARSA in isolation was not found to be associated with chromosomal abnormalities. The prevalence of ARSA in chromosomally abnormal fetuses was up to 24-fold higher than in normal fetuses, but the majority of chromosomally abnormal fetuses with ARSA had additional abnormal ultrasound findings, particularly cardiac abnormalities. Conclusions The prenatal detection of ARSA is a clinically useful prenatal marker for chromosomal abnormalities. In isolation, it is unlikely to be associated with pathogenic genetic variants. The ultrasound diagnosis of ARSA should prompt meticulous assessment of associated abnormalities. Invasive diagnostic testing should be offered to patients with non-isolated ARSA or in the presence of non-reassuring screening results or other risk factors.

scholarly journals A Five-Vessel Aortic Arch with an Anomalous Origin of Both Vertebral Arteries and an Aberrant Right Subclavian Artery

2004 ◽  
Vol 10 (4) ◽  
pp. 309-314 ◽  
Author(s):  
P.A. Brouwer ◽  
M.P.S. Souza ◽  
R. Agid ◽  
K.G. terBrugge
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Anomalous Origin ◽  
Aberrant Right Subclavian Artery ◽  
Left Vertebral Artery ◽  
Transverse Foramen ◽  
The Right

In this case presentation we describe a patient with an anomalous origin of the right vertebral artery arising from the right common carotid artery in combination with an aberrant right subclavian artery and a left vertebral artery originating from the arch between the left common carotid artery and left subclavian artery. Hence there were five vessels originating from the aortic arch. The possible embryological mechanism as well as a postulation on the importance of the level of entrance of the vertebral artery in the cervical transverse foramen is discussed.

scholarly journals Dysphagia Lusoria: A Case Report

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Nik Qisti F ◽  
Shahrun Niza AS ◽  
Razrim R
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Aortic Arch ◽  
Clinical Features ◽  
Subclavian Artery ◽  
Vertebral Column ◽  
Aberrant Right Subclavian Artery ◽  
Dorsal Part ◽  
Dysphagia Lusoria ◽  
The Right

Aberrant right subclavian artery is a rare cause of dysphagia. This is a congenital anomaly with the right subclavian artery originating from the dorsal part of the aortic arch and coursing through the mediastinum between the esophagus and the vertebral column. We report a case of a patient with chronic dysphagia caused by this condition. We further discuss the case with regards to its clinical features and options of management.

scholarly journals Anatomic Investigation of Two Cases of Aberrant Right Subclavian Artery Syndrome, Including the Effects on External Vascular Dimensions

Diagnostics ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 592
Author(s):  
Mitchell H. Mirande ◽  
Madelyn R. Durhman ◽  
Heather F. Smith
Keyword(s):  
Risk Assessment ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Relative Size ◽  
Aberrant Right Subclavian Artery ◽  
Normal Sample ◽  
Surgical Interventions ◽  
Brachiocephalic Trunk ◽  
The Right

The retroesophageal aberrant right subclavian artery (ARSA) is a variation of the aortic arch that occurs asymptomatically in most patients. However, when symptomatic, it is most commonly associated with dysphagia. ARSA has also been noted as a location of potentially severe aneurysms in some patients, as well as posing a risk during surgical interventions in the esophageal region. This case study analyzes two individuals with ARSA morphology in comparison to a normal sample in order to gain a better anatomical understanding of this anomaly, potentially leading to better risk assessment of ARSA patients going forward. The diameter of the ARSA vessel was found to be substantially larger than both the right subclavian artery and brachiocephalic trunk of the subjects with classic aortic arch anatomy. As many ARSA individuals are asymptomatic, we hypothesize that the relative size of the ARSA may dictate its contribution to the presence and/or severity of associated symptomatology.

scholarly journals Dysphagia Lusoria: A Case of an Aberrant Right Subclavian Artery and a Bicarotid Trunk

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
A. D. Rogers ◽  
M. Nel ◽  
E. P. Eloff ◽  
N. G. Naidoo
Keyword(s):  
Weight Loss ◽  
Carotid Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Aortic Arch Anomalies ◽  
Dysphagia Lusoria ◽  
Marked Weight ◽  
The Common ◽  
The Right

Dysphagia Lusoria is dysphagia secondary to an aberrant right subclavian artery that has a retroesophageal course. Adachi and Williams categorized aortic arch anomalies, showing that the right subclavian artery arising in this fashion (as the final branch of the descending aortic arch) is one of the more common. However, this very rarely coexists with a bicarotid trunk. We present such a case as it is manifested in a 36-year-old lady complaining of marked weight loss and dysphagia. The diagnosis remained elusive until a CT scan of the chest was performed; angiography further delineated the pathology. It is believed that the combination of the common carotid origins with the retroesophageal course of the aberrant vessel more frequently accounts for symptoms in the absence of an aneurysm of the origin of the aberrant vessel. Several techniques to manage the aberrant vessel have been described in the literature, but we favoured open ligation and transposition to the right carotid artery.

scholarly journals Retroesophageal right subclavian artery associated with a bicarotid trunk and an ectopic origin of vertebral arteries

2021 ◽  
Author(s):  
Barbara Buffoli ◽  
Vincenzo Verzeletti ◽  
Lena Hirtler ◽  
Rita Rezzani ◽  
Luigi Fabrizio Rodella
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Distal Part ◽  
Aberrant Right Subclavian Artery ◽  
Left Vertebral Artery ◽  
Vertebral Arteries ◽  
The Right

AbstractA rare branching pattern of the aortic arch in a female cadaver is reported. An aberrant right subclavian artery originated from the distal part of the aortic arch and following a retroesophageal course was recognized. Next to it, from the left to the right, the left subclavian artery and a short bicarotid trunk originating the left and the right common carotid artery were recognized. An unusual origin of the vertebral arteries was also identified. The left vertebral artery originated directly from the aortic arch, whereas the right vertebral artery originated directly from the right common carotid artery. Retroesophageal right subclavian artery associated with a bicarotid trunk and ectopic origin of vertebral arteries represents an exceptional and noteworthy case.

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.

Republished: Multiple anomalies in the origin and course of vertebral arteries and aberrant right subclavian artery in a child with moyamoya syndrome

2018 ◽  
Vol 10 (6) ◽  
pp. e14-e14
Author(s):  
Pınar Beyaz ◽  
Nadia Khan ◽  
Gerasimos Baltsavias
Keyword(s):  
Case Report ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Anomalous Origin ◽  
Aberrant Right Subclavian Artery ◽  
Moyamoya Syndrome ◽  
Vertebral Arteries ◽  
The Common ◽  
The Right ◽  
First Time

Here we report, for the first time, a combination of five-vessel aortic arch, anomalous origin of the right vertebral artery (VA) from the common carotid artery (CCA), an aberrant right subclavian artery (SCA), and bilateral symmetrical segmental agenesis of VAs.In this case report, we present a patient with moyamoya syndrome (MMS) and Down syndrome (DS) who has bilateral symmetrical segmental agenesis of VAs, left VA originating from aortic arch and anomalous origin of right VA arising from CCA in combination with an aberrant right SCA. Therefore, five vessels are originating from aortic arch. Here, we report, for the first time, a combination of five-vessel aortic arch with an aberrant right SCA and symmetrical segmental agenesis of both VAs. The possible embryological mechanisms of the anomalies as well as an relation with MMS and DS are discussed.

TAUSSIG-BING COMPLEX ASSOCIATED WITH ANOMALOUS RIGHT SUBCLAVIAN ARTERY ARISING PROXIMAL TO COARCTATION OF THE AORTA

PEDIATRICS ◽  
1956 ◽  
Vol 18 (4) ◽  
pp. 561-564
Author(s):  
Donald L. Alcott ◽  
Philip Sanfilippo ◽  
Jesse E. Edwards
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Aortic Coarctation ◽  
Ductus Arteriosus ◽  
Coarctation Of The Aorta ◽  
Single Coronary Artery ◽  
Arch System ◽  
Associated Malformations ◽  
Unusual Occurrence ◽  
The Right

A case of the Taussig-Bing complex with necropsy findings is reported. Of additional interest was the unusual occurrence of associated malformations of the aortic-arch system, including coarctation of the aorta and anomalous origin of the right subclavian artery proximal to the coarctation. A narrow patent ductus arteriosus was present and probably represented a temporary phase in the process of normal anatomic closure. A single coronary artery that divided into the two main coronary arteries shortly after its origin also was present. Origin of the anomalous right subclavian artery proximal to a zone of aortic coarctation is an extremely rare arrangement among malformations of the aortic-arch system.

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