Aortic Dissection Involving an Aberrant Right Subclavian Artery Studied by Aortography

Abstract

Summary A case is reported of an aberrant right subclavian artery detected at aortography following its involvement in a dissecting aneurysm commencing in the adjacent aortic arch, an example of a small group unrecognized until complicated by acquired disease. The clinical features are discussed briefly and the absence of tracheo‐oesophageal compression at any stage emphasized. Implication of the brachiocephalic branches is noted to be uncommon in such a distally originating aortic dissection. The aorto‐graphic findings are described in detail; particular reference is made to a double radio‐lucent line in the anomalous vessel related to marked circumferential involvement and to the value of an additional projection in elucidating this and other features.

Endovascular Aortic Repair With Castor Single-Branched Stent-Graft in Treatment of Acute Type B Aortic Syndrome and Aberrant Right Subclavian Artery

“…13 It was not until 1973 that Syme et al carried out the second descending aorta replacement for managing this pathology. 14 In 2008, a study of 452 patients by Wang et al revealed that the mortality rate of descending aorta replacement was 6.35% and the early incidence of postoperative complications was 11.1%. 15 High mortality and morbidity rates, as well as the trauma of left thoracic posterior-lateral incision, limit the application of descending aorta replacement for treating thoracic aortic disease.…”