Anomalous Right Subclavian Artery

Felson, Benjamín; Cohen, Sander M.Z.; Courter, Sanford R.; McGuire, Johnson

doi:10.1148/54.3.340

Cited by 70 publications

(19 citation statements)

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“…The appearance or recurrence of symptoms in adults may be a result of rigid atherosclerotic vessels that can compress the esophagus [Beauchamp et al, 1978;Dartevelle et al 1978]. Among other symptoms sometimes produced by the anomalous RRSA, the following may be found: asymmetrical pulses in the upper limb [Anson, 1936;Felson ct al., 1950;McCallen and Schaff 1956;Engelman and Madayag, 1972;Beauchamp et al, 1978;Schmidt et al, 1980]; trophic changes in the corresponding limb \Anson, 1936;Felson et al. 1950]; erosion of thoracic vertebrae [Fel son et al, 1950].…”

Section: Discussionmentioning

confidence: 99%

“…Perforations of the esophagus into an aberrant RRSA by a for eign body is quoted by Merchant et al 11977], A specific diagnostic sign for a RRSA is the indentation of the esophagus produced by the vessel [Kommerell, 1936]. The defect may be seen pulsating [Felson et al, 1950). An RRSA was also found to be a cause of cerebral circulatory failure [Skiora et al, 1978;Wackenheim and Kleinclaus, 1979], Surgical interventions are often per formed on an RRSA which is producing symptoms [ Cross and Ware, 1946;Gross and Neahauser, 1951;Blalock, 1948;Vidne et al, 1972;Lemire et al, 1977;Weinberger et al, 1977;Jung et al, 1978;Lam et al.…”

Section: Discussionmentioning

confidence: 99%

“…manifested by dilatation (cistern) and varicosities of the duct. Felson et al [1950] even mentioned a possible obstruction of the duct. It should be stressed here, how ever, that in most cases of RRSA in the literature, the course of the Th.d.…”

Section: ;mentioning

confidence: 99%

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The Association of a Retroesophageal Right Subclavian Artery, a Right-Sided Terminating Thoracic Duct, and a Left Vertebral Artery of Aortic Origin: Anatomical and Clinical Considerations

Nathan

Seidel²

1983

Cells Tissues Organs

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The findings in a cadaver demonstrated: (a) an aberrant retroesophageal right subclavian artery (RRSA); (b) a thoracic duct (Th.d.) terminating at the junction of the right internal jugular and subclavian veins (‘venous angle’), and (c) a left vertebral artery (LVA) of aortic origin. The origin of the RRSA from the aortic arch was distal and medial to the left subclavian artery and it reached the upper extremity by crossing posterior to the esophagus. The Th.d. ran a normal retroesophageal course in the mediastinum, until it was intercepted by the anomalous subclavian artery. At this level the Th.d. was deflected towards the right and, accompanied by the anomalous artery, reached the right venous angle. The LVA arose from the aortic arch between the left common carotid and the left subclavian arteries, and ascended to the transverse foramen of C6. The practical importance of associations in general is discussed, and the special diagnostic and surgical significance of the RRSA and Th.d. is stressed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Association of a Retroesophageal Right Subclavian Artery, a Right-Sided Terminating Thoracic Duct, and a Left Vertebral Artery of Aortic Origin: Anatomical and Clinical Considerations

Nathan

Seidel²

1983

Cells Tissues Organs

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“…The ARSCA had been verified by esophagram (91), angiography (eight), or CT (six) [4][5][6][7][8]. Four patients had more than one type of proof.…”

Section: Methodsmentioning

confidence: 99%

Aberrant right subclavian artery: further observations

Av¹,

Cuthbert²,

Raider³

1987

American Journal of Roentgenology

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“…En estos pacientes, además, son más prevalentes las anomalías cardiacas estructurales, principalmente la tetralogía de Fallot 6,7 . Aproximadamente dos tercios de los pacientes con ASDA o ASIA presentan una dilatación en su salida conocida como «di-vertículo de Kommerell», signo descrito por primera vez en el año 1936 en el contexto clínico de un paciente con disfagia 8 . El divertículo de Kommerell es un remanente del arco aórtico distal derecho del embrión y da lugar a una dilatación aneurismática en un 3-4% de los casos 3 .…”

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