Case report: Aneurysm of an aberrant right subclavian artery diagnosed with MR imaging

Turkenburg, Jeroen L.; Versteegh, Michel I.M.; Shaw, Pawan

doi:10.1016/s0009-9260(05)81980-4

Cited by 19 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Symptoms are related to pressure of the aneurysm on adjacent structures and include dysphagia, dyspnoea, cough, hoarseness, superior vena cava syndrome and Horner's syndrome. 10 Fatal rupture of these aneurysms has been reported. 11 Early diagnosis and elective surgical management of these aneurysms seems necessary because of the high mortality rate associated with rupture.…”

Section: Discussionmentioning

confidence: 99%

“…The disadvantages of this method, especially in paediatric patients, are the need of iodinated contrast and ionizing radiation. 3,4 Magnetic resonance (MR) angiography is an alternative non-invasive tool in the evaluation of thoracic vascular anomalies without the need of iodinated contrast material or radiation exposure, 10 but it is time-consuming and may require prolonged sedation in paediatric patients. Also, MR images are prone to cardiac or respiratory artefacts and the information regarding nonvascular mediastinal structures such as oesophagus and trachea is not sufficient.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Multidetector computed tomographic angiography of aberrant subclavian arteries

et al. 2009

View full text Add to dashboard Cite

The purpose of this study was to evaluate the utility of 16-slice multidetector computed tomographic (MDCT) angiography for identifying anatomic features of aberrant subclavian arteries. Seventeen patients with aberrant subclavian arteries were assessed by MDCT angiography. The aortic arch position, the presence of a Kommerell's diverticulum, aneurysm, vascular compression of trachea and oesophagus and associated cardiovascular abnormalities were evaluated. MDCT findings were confirmed by surgery in eight patients but in the other nine patients no further evaluation or management was warranted as the aberrant subclavian artery had no significant clinical consequence. Eleven patients had an aberrant right subclavian artery arising from the left aortic arch and six patients had an aberrant left subclavian artery arising from the right aortic arch. Kommerell's diverticulum was identified in three patients with an aberrant right subclavian artery and in five patients with an aberrant left subclavian artery. In two patients it was aneurysmal. Oesophageal compression was detected in eight patients, and tracheal compression was identified in only one paediatric patient. An aberrant subclavian artery was associated with complex congenital heart disease in one patient, intracardiac defects in two patients, aortic coarctation in two patients, patent ductus arteriosus in two patients and an aberrant vertebral artery in one patient. In conclusion, MDCT angiography is superior to digital subtraction angiography for the assessment of aberrant subclavian arteries since digital subtraction angiography has only a poor ability to visualize adjacent structures completely and is invasive in nature. MDCT angiography or magnetic resonance angiography are the current standard in the initial evaluation of thoracic vascular anomalies.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multidetector computed tomographic angiography of aberrant subclavian arteries

et al. 2009

View full text Add to dashboard Cite

show abstract

“…The RORSA is the most common congenital aortic arch anomaly, with a reported prevalence of 0.4 -2% [22,23]. The earliest reported description of this anomaly was by Hunald in 1735.…”

Section: Discussionmentioning

confidence: 99%

The problem of arteria lusoria in right transradial coronary angiography and angioplasty

Abhaichand

Louvard

Gobeil

et al. 2001

Cathet Cardio Intervent

View full text Add to dashboard Cite

The retroesophageal right subclavian artery (arteria lusoria) is one of the anatomical abnormalities encountered by interventional cardiologists who perform right transradial procedures. We report on 11 patients with arteria lusoria in whom 14 right transradial coronary angiography or angioplasty procedures were attempted among a series of 3,730 consecutive right transradial attempts. This abnormality can be easily detected by angiographic visualization, in the anteroposterior projection, of the angle of the catheter when it engages the ascending aorta, and by manual angiography at the ostium of the right subclavian artery. In such a case, catheterization of the ascending aorta may be difficult or even impossible (7.1%). Selective catheterization of both coronary arteries is more difficult, takes longer, and requires more catheters. The Judkins catheters are recommended, although they are seldom used for the left coronary artery via the right radial approach, for both arteries. All catheter exchanges should be performed on long guidewires.

show abstract

“…An aneurysm of an aberrant right subclavian artery (ARSA), also called arteria lusoria, is a rare entity of this congenital aortic arch anomaly, with a reported prevalence up to 2% [1,2]. ARSA aneurysms present with a pronounced risk of rupture.…”

Section: Introductionmentioning

confidence: 99%

Two-stage surgical and endovascular treatment of an aneurysmal aberrant right subclavian (Lusoria) artery

Attmann

Brandt

Müller‐Hülsbeck

et al. 2005

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

We report a case of a 75-year-old male patient with an asymptomatic aneurysm of an aberrant right subclavian artery (ARSA). Timely elective therapy of this entity is indicated due to the high risk of rupture. Because of the patient's reduced physical state, we performed an interdisciplinary endovascular aortic stent-grafting for the exclusion of the ARSA aneurysm. However, the proximal landing zone for the thoracic stent had to be chosen proximal to the origin of the left subclavian artery. Thus, 2 days before the endovascular procedure, a left-sided carotido-subclavian bypass was accomplished. The peri- and postoperative course was uneventful. The technical results in our patient were excellent, no leakage was visible so far.

show abstract

Case report: Aneurysm of an aberrant right subclavian artery diagnosed with MR imaging

Cited by 19 publications

References 9 publications

Multidetector computed tomographic angiography of aberrant subclavian arteries

Multidetector computed tomographic angiography of aberrant subclavian arteries

The problem of arteria lusoria in right transradial coronary angiography and angioplasty

Two-stage surgical and endovascular treatment of an aneurysmal aberrant right subclavian (Lusoria) artery

Contact Info

Product

Resources

About