An unusual origin of the right subclavian artery – arteria lusoria

Agnieszka Mocarska; Miroslaw Szylejko; Elzbieta Staroslawska; Franciszek Burdan

doi:10.1515/cipms-2015-0022

Abstract

The aortic arch usually gives off three major arterial branches: the brachiocephalic trunk, the left common carotid artery and the left subclavian artery. The most frequently occurring developmental variations of arterial trunks origins are a joined brachiocephalic and left common carotid artery origin, the left vertebral artery branching from the aortic arch, a double aortic arch, and a change of sequence of branching arteries. The current report presents the rare asymptomatic situation of the right subclavian artery originating as the last individual branching from the aortic arch. This abnormality was accidentally discovered in a computed tomography examination of a 69-year old male patient. The examination showed that the artery went towards the neck posteriorly from the trachea. The anatomical anomaly was interpreted as being an arteria lusoria.

References

1. Azakie A. et al.: Common brachiocephalic trunk: strategies for revascularisation. Ann. Thora. Surg., 67, 657-660, 1999.10.1016/S0003-4975(98)01322-8
Search in Google Scholar
2. Bennett A.L. et al.: Dysfagia lusoria. A late onset presentation. World J. Gastroenterol., 19, 2433-2436, 2013 .10.3748/wjg.v19.i15.2433363199823613640
Search in Google Scholar
3. Bochenek A., Reicher M.: Zmienność położenia i przebiegu łuku aorty. W: Anatomia człowieka. T. III. PZWL, Warszawa, 108-170, 1993.
Search in Google Scholar
4. Burdan F. et al: Incidence of spinal perineurial (Tarlov) cysts among East-European patients. PloS One. 8, e71514, 2013.10.1371/journal.pone.0071514373129323936511
Search in Google Scholar
5. Derbel B. et al.: Aberrant right subclavian artery or arteria lusoria: a rare cause of dyspnea in children. Ann. Vasc. Surg., 26, 1-4, 2012.10.1016/j.avsg.2011.09.00722321486
Search in Google Scholar
6. Dziekiewicz M. et al.: Variations in the anatomy of the branches of an aortic arch-two cases. Acta Angiol., 12, 80-84, 2006.
Search in Google Scholar
7. Ergun E. et al.: Anatomicalvariations in branching pattern of arcus aorta: 64-slice CTA appearance. Surg. Radiol. Anat., 35, 503-509, 2013.10.1007/s00276-012-1063-323271166
Search in Google Scholar
8. Głowacki J. et al.: Technika obrazowania. Współistnienie koarktacji aorty z anomaliami tętnic łuku aorty na podstawie badań naczyniowych w 64-warstwowej tomografii komputerowej. Kardiochir Torakochir. Pol., 5, 328-331, 2008.
Search in Google Scholar
9. Gnanapandithan K., et al.: Intermittent esophageal dysphagia: an intriguing diagnosis. Dysphagia lusoria. Gastroenterology., 146, 3-4, 2014.10.1053/j.gastro.2013.10.06724576739
Search in Google Scholar
10. Goray V.B. et al.: Aortic arch variation: a unique case with anomalous origin of both vertebral arteries as branches of the aortic arch distal to left subclavian artery. Am. J. Neuroradiol., 26, 93-95, 2005.
Search in Google Scholar
11. Jayanthi V. et al.: Anomalous origin of the left vertebral artery. Folia Morphol., 69, 258-260, 2010.
Search in Google Scholar
12. Kau T. et al.: Aortic development and anomalies. Semin. Intervent. Radiol., 24, 141-152, 2007.10.1055/s-2007-980040303641621326792
Search in Google Scholar
13. Kopp R. et al.: Surgical and endovascular treatment of symptomatic aberrant right subclavian artery (arteria lusoria). Vascular., 15, 84-91, 2007.10.2310/6670.2007.0001817481369
Search in Google Scholar
14. Lamers L.J. et al.: The effect of common origin of the carotid arteries in neurologic outcome after neonatal ECMO. J. Pediatr. Surg., 39, 532-536, 2004.10.1016/j.jpedsurg.2003.12.00515065022
Search in Google Scholar
15. Lemke A.J.et al.: Anomalous origin of the right vertebral artery: review of the literature and case report of right vertebral artery: origin distal to the left subclavian artery. Am. J. Neuroradiol., 20, 1318-1321, 1999.
Search in Google Scholar
16. Lesko M. et al.: One-step supraclavicular approach to the treatment of dysfagia lusoria. J. Card. Surg., 29, 519-522, 2014.10.1111/jocs.1228724438543
Search in Google Scholar
17. Manyama M. et al.: A variant branching pattern of the aortic arch: a case report. J. Card. Surg., 6, 29-31, 2011.10.1186/1749-8090-6-29306190221396124
Search in Google Scholar
18. Mukkannavar S.B.et al.: Aberrant right vertebral artery from descending thoracic aorta. Ann. Thorac. Surg., 96, 1074-1076, 2013.10.1016/j.athoracsur.2013.01.04323992705
Search in Google Scholar
19. Nastis K.I.et al.: Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review. Surg.Radiol. Anat.,31, 319-323, 2009.10.1007/s00276-008-0442-219034377
Search in Google Scholar
20. Okumuş M. et al.: A very rare cause of esophageal obstruction in a hypoxemic patient. Turk. J. Gastroenterol., 25, 433-434, 2014.10.5152/tjg.2014.356725254529
Search in Google Scholar
21. Saeed G. et al.: Arteria lusoria aneurysm with truncus bicaroticus. Tex. Heart Inst. J., 37, 602-607, 2010.
Search in Google Scholar
22. Shiva Kumar G.L. et al.: Anomalous branching pattern of the aortic arch and its clinical applications. Singapore Med. J ., 51, 182-183, 2010.
Search in Google Scholar
23. Stojanovska J. et al.: Embriology and imaging review of aortic arch anomalies. J. Thorac. Imaging. 27, 73-84, 2012.10.1097/RTI.0b013e318218923c21654534
Search in Google Scholar
24. Suresh R. et al.: Variations in the branching pattern of the aortic arch in three Trinidadians. Vest Indian Med. J.,55, 351-353, 2006.10.1590/S0043-31442006000500012
Search in Google Scholar
25. Türkvatan A. et al.: Congenital anomalies of the aortic arch: Evaluation with the use of multidetector computer tomography. Korean J. Radiol., 10, 176-184, 2009.10.3348/kjr.2009.10.2.176265144919270864
Search in Google Scholar

An unusual origin of the right subclavian artery – arteria lusoria

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