Hybrid repair of acute type B dissection with aberrant right subclavian artery and bicarotid trunk

Downey, Peter; Thors, Axel; Johnson, Phillip; Gupta, Kamal; Wallisch, William John; Almoghrabi, Omar; Muehlebach, Gregory; Zorn, George L.

doi:10.1016/j.jvscit.2022.03.003

Cited by 2 publications

(2 citation statements)

References 7 publications

(7 reference statements)

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“…In our review, 15 out of 51 cases report the presence of Kommerell's diverticulum, while the bicarotid trunk we identified only in seven cases. In a single case reported by Downey et al [47], the association between the bicarotid trunk and the Kommerell diverticulum was identified. In the vast majority of cases, we identified the origin of the right vertebral artery to be in the ARSA (44 out of 51).…”

Section: Summary Of Evidencementioning

confidence: 91%

Morphological Aspects of the Aberrant Right Subclavian Artery—A Systematic Review of the Literature

Nedelcu,

Lupu,

Moraru

et al. 2024

JPM

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Background: The aberrant origin of the right subclavian artery (ARSA), also known as the lusoria artery, is a congenital malformation with an incidence of 0.5–4.4%. Most cases are incidental due to minimal clinical manifestations. Computer tomography (CT) is important in diagnosing and evaluating these patients. Materials and Methods: We conduct a computerized search in two databases, PubMed and EMBASE, for articles published between 1 January 2022 and 31 December 2023, PROSPERO code: CRD42024511791. Eligible for inclusion were case reports and case series that presented the aberrant origin of the right subclavian artery. The main outcome was the highlighting of the morphological types of ARSA. In this context, we proposed a new classification system of this anomaly. The secondary outcome was the evaluation of the demographic distribution of the lusoria artery. Results: Our search identified 47 articles describing 51 patients with ARSA. The typical course for ARSA is retroesophageal, being registered in 49 out of 51 patients. This malformation is frequently associated with Kommerell diverticulum (15 out of 51), troncus bicaroticus (7 out of 51), and aberrant origins of the right vertebral artery (7 out of 51). We observed a higher incidence of the condition among women (32 out of 51) compared to men (19 out of 51). From a demographic point of view, ARSA is more frequent in the “44 to 57 years” and “58 to 71 years” age ranges. Conclusions: ARSA is a congenital malformation resulting from a defect in the development of the aortic arches. The imaging studies such as computer tomography play a defined diagnostic role.

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Section: Summary Of Evidencementioning

confidence: 91%

Morphological Aspects of the Aberrant Right Subclavian Artery—A Systematic Review of the Literature

Nedelcu,

Lupu,

Moraru

et al. 2024

JPM

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“…When patients lack a sufficient proximal landing zone for thoracic endovascular aortic repair, variant aortic arch morphology might provide a serious therapeutic issue. Interventional repair of a ruptured TBAD in a bicarotid trunk and surgical repair of an aberrant lymph tissue artery were both performed successfully in this research article [11].…”

Section: Related Workmentioning

confidence: 95%

The recognition of severe thoracic aortic dissection using conventional chest radiography in conjunction with a whale optimized bilateral residual convolutional neural network

Naveen¹,

Bishnoi²,

Malathi³

2023

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A life-threatening condition called severe thoracic aortic dissection (STAD) is brought on by blood leakage from the aorta's injured inner layer, which separates the intimal and adventitial layers. It is difficult to make a diagnosis for this disease. Chest x-rays are frequently used for initial screening or diagnosis, however their diagnostic accuracy is not great. Deep learning (DL) has recently been effectively used for a variety of medical image processing tasks. By using DL techniques, we try to enhance the accuracy of the diagnosis of STAD made on the basis of chest x-rays in this work. The significant thoracic aortic dissection was detected using the Whale optimized bilateral residual convolutional neural network (WO-BRCNN). The WO-BRCNN accuracy was found to be 99.21%, with precision at 94.93%, recall at 97.89%, F1-score at 95.71% and specificity at 93.42%. To increase diagnostic accuracy using aorta segmentation, further study is required.

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Hybrid repair of acute type B dissection with aberrant right subclavian artery and bicarotid trunk

Cited by 2 publications

References 7 publications

Morphological Aspects of the Aberrant Right Subclavian Artery—A Systematic Review of the Literature

Morphological Aspects of the Aberrant Right Subclavian Artery—A Systematic Review of the Literature

The recognition of severe thoracic aortic dissection using conventional chest radiography in conjunction with a whale optimized bilateral residual convolutional neural network

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