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Non-aneurysmal aberrant right subclavian artery causing dysphagia in a young girl: challenges encountered using supraclavicular approach.

Darwazah AK, Eida M, Khalil RA, Ismail H, Hanbali N - J Cardiothorac Surg (2015)

Bottom Line: Patients are often asymptomatic and discovered accidentally.Occasionally, they present with symptoms related to oesophageal or tracheal compression.A 13-year-old girl presented with dysphagia and stridor was found to have an aberrant right subclavian artery.An additional left thoracotomy was performed to overcome the challenges encountered at initial operation.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiac Surgery, Ramallah Hospital, Ramallah, Israel. darwaz30@hotmail.com.

ABSTRACT
Aberrant right subclavian artery is the most common anomaly of the aortic arch. Patients are often asymptomatic and discovered accidentally. Occasionally, they present with symptoms related to oesophageal or tracheal compression.A 13-year-old girl presented with dysphagia and stridor was found to have an aberrant right subclavian artery. Surgical division and reconstruction of the artery was performed initially through right supraclavicular approach. An additional left thoracotomy was performed to overcome the challenges encountered at initial operation.

No MeSH data available.


Related in: MedlinePlus

a Four branches arises from the aortic arch. Aberrant right subclavian artery(ARSA) marked by astrex. b ARSA arises distal to left subclavian artery. c Obstruction of the oesophagus posteriorly by ARSA
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Fig2: a Four branches arises from the aortic arch. Aberrant right subclavian artery(ARSA) marked by astrex. b ARSA arises distal to left subclavian artery. c Obstruction of the oesophagus posteriorly by ARSA

Mentions: Physical examination revealed a thin, otherwise healthy, young girl. Laboratory tests, chest rentegenography, echocardiography and abdominal CT were normal. However, Barium swallow showed an oblique posterior indentation of the oesophagus just above the level of aortic arch (Fig. 1). CT angiography revealed a left aortic arch with an aberrant right subclavian artery originating from the aorta distal to left subclavian artery (Fig. 2a,b). The artery was crossing the midline compressing the posterior surface of the oesophagus (Fig. 2c).Fig. 1


Non-aneurysmal aberrant right subclavian artery causing dysphagia in a young girl: challenges encountered using supraclavicular approach.

Darwazah AK, Eida M, Khalil RA, Ismail H, Hanbali N - J Cardiothorac Surg (2015)

a Four branches arises from the aortic arch. Aberrant right subclavian artery(ARSA) marked by astrex. b ARSA arises distal to left subclavian artery. c Obstruction of the oesophagus posteriorly by ARSA
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4491425&req=5

Fig2: a Four branches arises from the aortic arch. Aberrant right subclavian artery(ARSA) marked by astrex. b ARSA arises distal to left subclavian artery. c Obstruction of the oesophagus posteriorly by ARSA
Mentions: Physical examination revealed a thin, otherwise healthy, young girl. Laboratory tests, chest rentegenography, echocardiography and abdominal CT were normal. However, Barium swallow showed an oblique posterior indentation of the oesophagus just above the level of aortic arch (Fig. 1). CT angiography revealed a left aortic arch with an aberrant right subclavian artery originating from the aorta distal to left subclavian artery (Fig. 2a,b). The artery was crossing the midline compressing the posterior surface of the oesophagus (Fig. 2c).Fig. 1

Bottom Line: Patients are often asymptomatic and discovered accidentally.Occasionally, they present with symptoms related to oesophageal or tracheal compression.A 13-year-old girl presented with dysphagia and stridor was found to have an aberrant right subclavian artery.An additional left thoracotomy was performed to overcome the challenges encountered at initial operation.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiac Surgery, Ramallah Hospital, Ramallah, Israel. darwaz30@hotmail.com.

ABSTRACT
Aberrant right subclavian artery is the most common anomaly of the aortic arch. Patients are often asymptomatic and discovered accidentally. Occasionally, they present with symptoms related to oesophageal or tracheal compression.A 13-year-old girl presented with dysphagia and stridor was found to have an aberrant right subclavian artery. Surgical division and reconstruction of the artery was performed initially through right supraclavicular approach. An additional left thoracotomy was performed to overcome the challenges encountered at initial operation.

No MeSH data available.


Related in: MedlinePlus