Contemporary Surgical Management of Aberrant Right Subclavian Arteries (Arteria Lusoria)

Dueppers, Philip; Floros, Nikolaos; Schelzig, Hubert; Wagenhäuser, Markus U.; Duran, Mansur

doi:10.1016/j.avsg.2020.08.151

Cited by 11 publications

(15 citation statements)

References 19 publications

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“…Although several studies assessing the advantage of TEVAR over open repair reported mixed results in thoracic aortic aneurysms [ 13 - 15 ], very little research has been conducted on ARSAA in this context. While surgeons have advocated a hybrid approach in the management of isolated ARSAA, open repair is usually recommended, as the origin of the ARSA can only be ligated using thoracotomy [ 12 , 16 ]. In addition, long-term studies have shown that open repair has better long-term durability than the hybrid approach [ 13 , 15 , 17 ], making it a more reasonable option for younger populations and those from a lower socioeconomic background.…”

Section: Discussionmentioning

confidence: 99%

“…Especially in young patients with a lower socioeconomic status and poor healthcare-seeking behavior, open repair may be preferred over hybrid or endovascular repair, owing to better durability and less requirement for long-term specialist follow-up. Although initial studies are promising for hybrid repairs [ 16 ], more long-term studies are necessary to support the role of endovascular intervention in the definitive management of ARSAA.…”

Section: Discussionmentioning

confidence: 99%

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Asymptomatic Giant Aneurysm of the Arteria Lusoria Treated by Debranching and Aneurysmal Resection

Venkatesan

Gonuguntla

Vasireddy

et al. 2022

Vasc Specialist Int

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The aberrant right subclavian artery (ARSA, arteria lusoria) is the most common intrathoracic vascular anomaly, affecting up to 2% of the population. However, aneurysms of congenital anomalies are extremely unusual and often present with dysphagia, dysphonia, or dyspnea due to compression of the surrounding structures. We report a case of an asymptomatic 57-year-old male with chronic kidney disease who was incidentally found to have a large aneurysm of the ARSA on preoperative computed tomography for laparoscopic nephrectomy. Surgery is unequivocally warranted as these aneurysms are associated with a high risk of complications, including thrombosis, embolism, and rupture. We debranched the ARSA, followed by anastomosis to the right carotid artery through a right neck incision. Subsequently, aneurysmal resection was performed through left thoracotomy. The patient had an uneventful postoperative recovery and was asymptomatic during the follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Asymptomatic Giant Aneurysm of the Arteria Lusoria Treated by Debranching and Aneurysmal Resection

Venkatesan

Gonuguntla

Vasireddy

et al. 2022

Vasc Specialist Int

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“…21 Another author reported doing a transposition of the vertebral artery to the common carotid artery followed by placement of a covered stent across the subclavian artery aneurysm. 22 Stent grafts alone have also been used alone to repair this type of aneurysm with 6 of these reported in a single center study. [21][22][23] In this patient, bilateral absence of the internal carotid arteries mandated the preservation of the vertebral arteries.…”

Section: Discussionmentioning

confidence: 99%

“…22 Stent grafts alone have also been used alone to repair this type of aneurysm with 6 of these reported in a single center study. [21][22][23] In this patient, bilateral absence of the internal carotid arteries mandated the preservation of the vertebral arteries. The patient also had the complexity of dextrocardia and right sided aortic arch.…”

Section: Discussionmentioning

confidence: 99%

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Endovascular Repair of an Intrathoracic Subclavian Artery Aneurysm in a Patient With Dextrocardia

Motaganahalli

Wang

Sawchuk

2022

Vasc Endovascular Surg

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This manuscript describes an endovascular repair of a symptomatic, large proximal left subclavian artery aneurysm in a patient with dextrocardia and right-sided aortic arch and absent bilateral internal carotid arteries. The patient had surgical reconstruction as an infant for congenital heart disease with Ventricular Septal Defect, bifid sternum . Given her previous surgical history, we declined an open operation and performed an endovascular repair with stent grafts to successfully repair the subclavian artery aneurysm. The patient had an uneventful postoperative course and follow-up ultrasonography demonstrated successful repair with preservation of flow through the left subclavian and vertebral arteries with resolution of her symptoms.

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International Multi-Institutional Experience with Presentation and Management of Aortic Arch Laterality in Aberrant Subclavian Artery and Kommerell's Diverticulum

Moffatt,

Bath,

Rogers

et al. 2023

Annals of Vascular Surgery

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Contemporary Surgical Management of Aberrant Right Subclavian Arteries (Arteria Lusoria)

Cited by 11 publications

References 19 publications

Asymptomatic Giant Aneurysm of the Arteria Lusoria Treated by Debranching and Aneurysmal Resection

Asymptomatic Giant Aneurysm of the Arteria Lusoria Treated by Debranching and Aneurysmal Resection

Endovascular Repair of an Intrathoracic Subclavian Artery Aneurysm in a Patient With Dextrocardia

International Multi-Institutional Experience with Presentation and Management of Aortic Arch Laterality in Aberrant Subclavian Artery and Kommerell's Diverticulum

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