Hybrid Treatment of Aberrant Right Subclavian Artery Causing Dysphagia Lusoria by Subclavian to Carotid Transposition and Endovascular Plug

León, Mónica; Garibaldi, Mauro; Virgen, Fausto; Ramírez-Cerda, Claudio; Cohen-Mussali, Salomón

doi:10.5758/vsi.200042

Cited by 7 publications

(8 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previously, ARSA, and other aortic arch anomalies were diagnosed by endoscopy or upper gastrointestinal barium imaging. Nowadays, CT-angiography or MRangiography the most common method for diagnosing vascular anomalies, such as the ARSA [14]. Initial management, for mild symptoms, includes lifestyle changes, such as taking smaller sips and chewing well.…”

Section: Discussionmentioning

confidence: 99%

An aberrant right subclavian artery in a 63-year-old male cadaver

et al. 2023

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

An aberrant right subclavian artery in a 63-year-old male cadaver

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Recently, hybrid procedures that combine traditional operative and endovascular modalities have been reported for the definitive treatment of ARSAA [ 11 , 12 ]. Thoracic endovascular aneurysm repair (TEVAR) in conjunction with extrathoracic revascularization for ARSAA is an attractive option because it mitigates the risk of mortality associated with thoracotomy, extracorporeal circulation, and major open surgery [ 12 ].…”

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

View full text Add to dashboard Cite

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.

show abstract

“…However, midterm outcomes were not described for these patients and therefore cannot be compared with the good midterm outcomes seen in patients with aneurysmal ARSA who underwent TEVAR with revascularization. 10 In the patient treated by Leon and colleagues 11 with a hybrid procedure involving nonaneu rysmal ARSA ligation and subclavian-to-carotid transposition followed by endovascular closure of the ARSA origin, follow-up was performed only during the first 6 months after the operation. In our patient with symptomatic nonaneurysmal ARSA, dysphagia had not reoccurred 4 years after he underwent TEVAR with subclavian revascularization for esophageal stricture.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Endovascular Aortic Repair With Subclavian Revascularization for Symptomatic Nonaneurysmal Aberrant Right Subclavian Artery

Nakamura

Imaoka

Yamakura

et al. 2022

Texas Heart Institute Journal

View full text Add to dashboard Cite

Aberrant right subclavian artery is a common aortic arch anomaly that can cause dysphagia as a result of compression by the aberrant artery. For patients with an aneurysm associated with an aberrant right subclavian artery, surgical or endovascular intervention is a well-described treatment. However, for patients with a nonaneurysmal aberrant right subclavian artery, treatment with thoracic endovascular aortic repair has been limited. We describe the use of thoracic endovascular aortic repair and subclavian revascularization to treat esophageal stricture in a patient with a symptomatic nonaneurysmal aberrant right subclavian artery. The patient's dysphagia was successfully relieved after the operation.

show abstract

Hybrid Treatment of Aberrant Right Subclavian Artery Causing Dysphagia Lusoria by Subclavian to Carotid Transposition and Endovascular Plug

Cited by 7 publications

References 17 publications

An aberrant right subclavian artery in a 63-year-old male cadaver

An aberrant right subclavian artery in a 63-year-old male cadaver

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

Thoracic Endovascular Aortic Repair With Subclavian Revascularization for Symptomatic Nonaneurysmal Aberrant Right Subclavian Artery

Contact Info

Product

Resources

About