Retro-oesophageal right subclavian artery in association with thyroid ima artery: a case report, clinical impact and review of the literature

Natsis, Konstantinos; Lazaridis, Nikolaos; Gkiouliava, Anna; Didagelos, Matthaios; Piagkou, Maria

doi:10.5603/fm.a2015.0080

Cited by 21 publications

(35 citation statements)

References 51 publications

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“…A median incidence was reported in European populations (0.8%) [16]. In this type, the ARSCA follows usually a retro-oesophageal course (80% of the cases) [10,12,13,16,20] and rarely, the artery may pass between trachea and oesophagus (15%) and more rarely in front of the trachea (5%) [12]. Another important coexisted variant in such cases is the presence of a RNRLN almost totally (90-100%) [8,12,15,16].…”

Section: Discussionmentioning

confidence: 99%

An unusual case of asymmetrical combined variations of the subclavian and axillary artery with clinical significance

et al. 2019

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In a Greek Caucasian male cadaver, a combination of the following arterial variations were observed: an aberrant right subclavian artery originating as a last branch of the aortic arch and coursed posterior to the oesophagus, a right non-recurrent laryngeal nerve, an atypical origin of the left suprascapular artery from the axillary artery, an unusual emersion of the lateral thoracic artery from the subscapular artery and a separate origin of the left thoracodorsal artery from the axillary artery. According to the available literature the corresponding incidences of the referred variants are: 0.7% for the aberrant right subclavian artery, 1.6-3.8% for the origin of the suprascapular artery from the axillary artery, 3% for the origin of the left thoracodorsal artery from the axillary artery and 30% for the origin of the lateral thoracic artery from the subscapular artery. Such unusual coexistence of arterial variations may developmentally be explained and has important clinical significance.

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Section: Discussionmentioning

confidence: 99%

An unusual case of asymmetrical combined variations of the subclavian and axillary artery with clinical significance

et al. 2019

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“…The symptoms associated with an aberrant subclavian artery are very often silent, but if present can include dysphagia, chronic cough, and unexplained ischemia of the right upper limb (Natsis et al, 2016). We noted that 86.7% of right NRLN patients had an aberrant subclavian artery pattern.…”

Section: Discussionmentioning

confidence: 99%

The Non-Recurrent Laryngeal Nerve: a meta-analysis and clinical considerations

Henry

Sanna

Graves

et al. 2017

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BackgroundThe Non-Recurrent Laryngeal Nerve (NRLN) is a rare embryologically-derived variant of the Recurrent Laryngeal Nerve (RLN). The presence of an NRLN significantly increases the risk of iatrogenic injury and operative complications. Our aim was to provide a comprehensive meta-analysis of the overall prevalence of the NRLN, its origin, and its association with an aberrant subclavian artery.MethodsThrough March 2016, a database search was performed of PubMed, CNKI, ScienceDirect, EMBASE, BIOSIS, SciELO, and Web of Science. The references in the included articles were also extensively searched. At least two reviewers judged eligibility and assessed and extracted articles. MetaXL was used for analysis, with all pooled prevalence rates calculated using a random effects model. Heterogeneity among the included studies was assessed using the Chi2 test and the I2 statistic.ResultsFifty-three studies (33,571 right RLNs) reported data on the prevalence of a right NRLN. The pooled prevalence estimate was 0.7% (95% CI [0.6–0.9]). The NRLN was found to originate from the vagus nerve at or above the laryngotracheal junction in 58.3% and below it in 41.7%. A right NRLN was associated with an aberrant subclavian artery in 86.7% of cases.ConclusionThe NRLN is a rare yet very clinically relevant structure for surgeons and is associated with increased risk of iatrogenic injury, most often leading to temporary or permanent vocal cord paralysis. A thorough understanding of the prevalence, origin, and associated pathologies is vital for preventing injuries and complications.

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“…The prevalence of a right NRLN was strongly associated with the presence of aberrant subclavian artery, the causative anomaly of Dysphagia Lusoria (Bayford-Autenrieth Dysphagia) (Watanabe et al, 2001). The symptoms associated with an aberrant subclavian artery are very often silent, but if present can include dysphagia, chronic cough, and unexplained ischemia of the right upper limb (Natsis et al, 2015). We noted that 86.7% of right NRLN patients had an aberrant subclavian artery pattern.…”

Section: Discussionmentioning

confidence: 69%

Peer Review #3 of "The Non-Recurrent Laryngeal Nerve: a meta-analysis and clinical considerations (v0.2)"

2017

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Background. The Non-Recurrent Laryngeal Nerve (NRLN) is a rare embryologically-derived variant of the Recurrent Laryngeal Nerve (RLN). The presence of a NRLN significantly increases the risk of iatrogenic injury and operative complications. Our aim was to provide a comprehensive meta-analysis of the overall prevalence of the NRLN, its origin, and its association with an aberrant subclavian artery. Methods. Through March 2016, a database search was performed of PubMed, CNKI, ScienceDirect, EMBASE, BIOSIS, SciELO, and Web of Science. The references in the included articles were also extensively searched. At least two reviewers judged eligibility and assessed and extracted articles. MetaXL was used for analysis, with all pooled prevalence rates calculated using a random effects model. Heterogeneity among the included studies was assessed using the Chi 2 test and the I 2 statistic. Results. Fifty-three studies (33,571 right RLNs) reported data on the prevalence of a right NRLN. The pooled prevalence estimate was 0.7% (95%CI: 0.6-0.9). The NRLN was found to originate from the vagus nerve at or above the laryngotracheal junction in 58.3% and below it in 41.7%. A right NRLN was associated with an aberrant subclavian artery in 86.7% of cases. Conclusion. The NRLN is a rare yet very clinically relevant structure for surgeons and is associated with increased risk of iatrogenic injury, most often leading to temporary or permanent vocal cord paralysis. A thorough understanding of the prevalence, origin, and associated pathologies is vital for preventing injuries and complications.

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Retro-oesophageal right subclavian artery in association with thyroid ima artery: a case report, clinical impact and review of the literature

Abstract: (Folia Morphol 2016; 74, 1: 130-135)

Cited by 21 publications

References 51 publications

An unusual case of asymmetrical combined variations of the subclavian and axillary artery with clinical significance

An unusual case of asymmetrical combined variations of the subclavian and axillary artery with clinical significance

The Non-Recurrent Laryngeal Nerve: a meta-analysis and clinical considerations

Peer Review #3 of "The Non-Recurrent Laryngeal Nerve: a meta-analysis and clinical considerations (v0.2)"

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