Three Cases of Retroesophageal Right Subclavian Artery

Saito, Toshiyuki; Tamatsukuri, Yoshiki; Hitosugi, Takashi; Miyakawa, Kunihisa; Shimizu, Toru; Oi, Yoshiyuki; Yoshimoto, Masami; Yamamoto, Yoshiyuki; Spanel-Browski, Katherina; Steinke, Hanno

doi:10.1272/jnms.72.375

Cited by 24 publications

(28 citation statements)

References 11 publications

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“…In Europe, depending on the country, it was found in 0.11% (Great Britain; Kelly 2007 [13]), 0.16% (Greece; Natsis et al [14]), 0.3% (France; Abhaichand et al [15]), or 0.38% (Nederland; de Luca et al [16]) of the population. Studies have also been performed on other continents: Asia, 0.1-0.2% of cases (Korea; Nie et al [17] and Japan; Saito et al [18], resp. ); North America, 0.5% of cases (United State; Haesemeyer and Gavant [19]); or Australia and Oceania, 0.8% of cases (New Zealand, Cainey [20]).…”

Section: Discussionmentioning

confidence: 99%

The Aberrant Right Subclavian Artery (Arteria Lusoria): The Morphological and Clinical Aspects of One of the Most Important Variations—A Systematic Study of 141 Reports

Polguj

Chrzanowski

Kasprzak

et al. 2014

The Scientific World Journal

161

178

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The most important abnormality of the aortic arch is arguably the presence of an aberrant right subclavian artery (arteria lusoria). If this vessel compresses the adjacent structures, several symptoms may be produced. The aim of the study is to present the morphological and clinical aspects of the aberrant right subclavian artery. Three different databases searched for a review of pertinent literature using strictly predetermined criteria. Of 141 cases, 15 were cadaveric and 126 were clinically documented. The gender distribution of the subjects was 55.3% female and 44.7% male. The mean age of the patients at symptoms onset was 49.9 ± 19.4 years for all patients but 54.0 ± 19.6 years and 44.9 ± 18.1 years for female and male subjects, respectively (P = 0.0061). The most common symptoms in this group were dysphagia (71.2%), dyspnea (18.7%), retrosternal pain (17.0%), cough (7.6%), and weight loss (5.9%). The vascular anomalies coexisting with an arteria lusoria were truncus bicaroticus (19.2%), Kommerell's diverticulum (14.9%), aneurysm of the artery itself (12.8%), and a right sided aortic arch (9.2%). In conclusion, compression of adjacent structures by an aberrant right subclavian artery needs to be differentiated from other conditions presenting dysphagia, dyspnea, retrosternal pain, cough, and weight loss.

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Section: Discussionmentioning

confidence: 99%

The Aberrant Right Subclavian Artery (Arteria Lusoria): The Morphological and Clinical Aspects of One of the Most Important Variations—A Systematic Study of 141 Reports

Polguj

Chrzanowski

Kasprzak

et al. 2014

The Scientific World Journal

161

178

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“…Adachi classifi ed ARSA as pattern type G, the most common aortic arch anomaly, with an incidence of 0.5% to 1.8%. 13,15 The ARSA found on our dissection arose as the last vessel off the aortic arch. This branching anomaly allowed for its retroesophageal course running between the esophagus and the spine.…”

Section: Special Topics In Cardiologymentioning

confidence: 82%

Considering an aortic arch anomaly in patients with dysphagia

Ciani

Gonzalez

Henson

et al. 2013

Journal of the American Academy of Physician Assistants

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“…The origin of the retroesophageal right subclavian artery as the last branch occurs in between 0.4 and 2% of individuals [4–6]. …”

Section: Literature Reviewmentioning

confidence: 99%

Dysphagia Lusoria: A Case of an Aberrant Right Subclavian Artery and a Bicarotid Trunk

et al. 2011

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Dysphagia Lusoria is dysphagia secondary to an aberrant right subclavian artery that has a retroesophageal course. Adachi and Williams categorized aortic arch anomalies, showing that the right subclavian artery arising in this fashion (as the final branch of the descending aortic arch) is one of the more common. However, this very rarely coexists with a bicarotid trunk. We present such a case as it is manifested in a 36-year-old lady complaining of marked weight loss and dysphagia. The diagnosis remained elusive until a CT scan of the chest was performed; angiography further delineated the pathology. It is believed that the combination of the common carotid origins with the retroesophageal course of the aberrant vessel more frequently accounts for symptoms in the absence of an aneurysm of the origin of the aberrant vessel. Several techniques to manage the aberrant vessel have been described in the literature, but we favoured open ligation and transposition to the right carotid artery.

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Three Cases of Retroesophageal Right Subclavian Artery

Cited by 24 publications

References 11 publications

The Aberrant Right Subclavian Artery (Arteria Lusoria): The Morphological and Clinical Aspects of One of the Most Important Variations—A Systematic Study of 141 Reports

The Aberrant Right Subclavian Artery (Arteria Lusoria): The Morphological and Clinical Aspects of One of the Most Important Variations—A Systematic Study of 141 Reports

Considering an aortic arch anomaly in patients with dysphagia

Dysphagia Lusoria: A Case of an Aberrant Right Subclavian Artery and a Bicarotid Trunk

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