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Your search keyword '"aberrant right subclavian artery"' showing total 3 results
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3 results on '"aberrant right subclavian artery"'

2. Arteria subclavia aberrante izquierda, hallazgo infrecuente

Author

Matías Molia V, Juan Francisco Allamand T., Gonzalo Pumarino M, Francisco Carriel A., and Verónica Hamilton M.

Subjects
Gynecology, medicine.medical_specialty, Aberrant left subclavian artery, business.industry, Dysphagia lusoria, Arteria subclavia aberrante izquierda, Treatment options, Aberrant right subclavian artery, medicine.disease, Current management, medicine, Radiology, Nuclear Medicine and imaging, Deletion syndrome, Cirugía híbrida, Arteria lusoria, business, Surgical treatment, Cirugía endovascular
Abstract

Objective : The Aberrant Right Subclavian Artery (ARSA) or Lusoria Artery is one of the most common aortic arch malformations. Aberrant Left Subclavian Artery (ALSA) on the other hand, is a much rarer condition. We present an uncommon case and review the treatment options. Materials and Methods : Clinical case of an ALSA in a patient with 22q11.2 deletion syndrome with upper limb symptoms. Results : ALSA is an exceedingly rare condition and information on its surgical treatment is scarce. Nevertheless, there are reports of hybrid management of an ALSA; possibly mimicking the current management for ARSA. Discussion : In most cases the presence of an ASA is asymptomatic, especially in adults. Some of the most typical symptoms are dysphagia (dysphagia lusoria), cough, dyspnea, claudication of the upper limb extremity. When symptomatic, the patient has indication of surgery. Conclusion : The treatment of an ALSA is still debatable. It depends on the anatomy, comorbidities and surgeon experience. Objetivo : La arteria subclavia aberrante (ASA) o arteria lusoria, es una de las malformaciones mas comunes del arco aortico; en especial su variante derecha. Por otro lado, la arteria subclavia aberrante izquierda es mas rara de la cual presentamos un caso infrecuente y se revisan opciones de tratamiento. Materiales y metodos : Caso clinico de paciente con sindrome delecion 22q11.2 y ASA izquierda con sintomas en extremidad superior izquierda. Resultados : El ASA izquierda es una condicion rarisima y hay escasa informacion sobre su tratamiento quirurgico. Sin embargo, hay reportes de manejo hibrido; posiblemente imitando el manejo actual de un ASA derecha. Discusion : La mayoria de las veces, el ASA es asintomatica; especialmente en adultos. Si presenta clinica, sus sintomas son disfagia, tos, disnea, claudicacion de la extremidad superior. La presencia de sintomatologia es una indicacion quirurgica. Conclusion : El tratamiento quirurgico de una ASA es discutido. Este va a depender de la anatomia, comorbilidades y experiencia del cirujano.

Published
2019

3. [Aberrant right subclavian artery in children examined at the National Institute of Cardiology Ignacio Chavez (1992-2012)].

Author

Mijangos-Vázquez R, Patiño-Bahena E, Martínez-García A, Herrera J, Calderón-Colmenero J, Buendía-Hernández A, and Soto-López ME

Subjects
Academies and Institutes, Cardiology, Child, Child, Preschool, Female, Humans, Infant, Male, Retrospective Studies, Subclavian Artery surgery, Aneurysm diagnosis, Aneurysm surgery, Cardiovascular Abnormalities diagnosis, Cardiovascular Abnormalities surgery, Deglutition Disorders diagnosis, Deglutition Disorders surgery, Subclavian Artery abnormalities
Abstract

Objectives: Congenital vascular malformations of the major arteries in the chest have been classified into 5 groups: 1) double aortic arch; 2) right aortic arch with left ligament or persistent ductus arteriosus; 3) aberrant subclavian artery; 4) aberrant left pulmonary artery, and 5) anomalous innominate artery. We reviewed the patients with aberrant right subclavian artery and their treatment., Methods: We studied retrospectively the records of 29 patients with aberrant right subclavian artery in childhood, from January 1992 to December 2012, analyzing the following variables: age at onset, clinical manifestations, associated cardiovascular defects, diagnosis and surgical approach method., Results: We found that most patients have an asymptomatic course, only 31% of them course with symptoms during the first year of life, with an incidental diagnosis of 35% during catheterization or other imaging studies. Patent ductus arteriosus was the most frequently associated congenital malformation, with 13%. Down's syndrome was found in 21%. The most common treatment was surgical section of the aberrant subclavian artery to release the esophagus., Conclusions: This vascular abnormality must be suspected in those patients with dysphagia, dyspnea, chest pain during feeding or breathing difficulties. A significant number of patients are not diagnosed in time, some reach adulthood without a diagnosis. This malformation is often found in imaging studies when evaluating the aorta or in a gastroesophageal reflux study, in which the barium bolus reveals the extrinsic compression of the esophagus., (Copyright © 2013 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.)

Published
2014
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