Management of right-sided aortic arch aneurysms

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

“…Particularly large thoracic aneurysms may be associated with chest discomfort. Rarely, dysphagia (dysphagia lusoria) or dyspnea is present, usually related to congenital distal arch lesions, such as aberrant right subclavian artery and Kommerell diverticulum or Felson and Palayew Type I or II right-sided aortic arch lesions (408).…”

Remnant of repaired right aortic arch stump as a rare cause of recurrent strokes: The eyes see only what the mind knows!

“…Clinical presentation and surgical approaches to aortic arch complex (vascular rings) anomalies depend on the specific lesion and presence of any associated congenital heart defects. [1][2][3][4][5] In most patients, vascular rings manifest early in life, and respiratory symptoms are more common than evidence of esophageal compression. When they manifest in late childhood or adulthood, however, dysphagia is often the primary symptom.…”

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Anomalies of the aortic arch complex (vascular rings) occur in various forms, often causing tracheal and esophageal compression. [1][2][3][4][5] We describe a rare case of recurrent strokes resulting from thrombus in remnant of a repaired right aortic arch stump.

CLINICAL SUMMARYA 50-year-old man with spina bifida was seen with a history of recurrent strokes during the previous 3 years. He had undergone ligation of patent ductus arteriosus and ''aortopexy'' through left thoracotomy 40 years previously.

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“…Anomalies of the aortic arch complex (vascular rings) occur in various forms, often causing tracheal and esophageal compression. [1][2][3][4][5] We describe a rare case of recurrent strokes resulting from thrombus in remnant of a repaired right aortic arch stump.…”

Open Thoracic Aortic Repair for Dysphagia in Patients with Kommerell's Diverticulum and Right-Sided Aortic Arch with Aberrant Left Subclavian Artery

“…Kommerell's diverticulum of an aberrant left subclavian artery associated with a right‐sided aortic arch is a rare congenital aortic anomaly, which is also classified as Felson and Palayew type 2 1,2 . The majority of patients with this combination of anomalies are asymptomatic with the diagnosis often being made incidentally.…”