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Case Reports
. 2006;33(4):477-81.

Surgical approaches to the aberrant right subclavian artery

Yuksel Atay  1 , Cagatay Engin, Hakan Posacioglu, Ruhi Ozyurek, Coskun Ozcan, Tahir Yagdi, Fatih Ayik, Emin Alp Alayunt
Affiliations
Case Reports

Surgical approaches to the aberrant right subclavian artery

Yuksel Atay et al. Tex Heart Inst J. 2006.

Abstract

Aberrant subclavian artery (arteria lusoria) is a rare congenital anomaly that usually does not produce symptoms. Symptomatic patients require surgical intervention. The operative approach to correct this condition has been controversial. Herein, we describe surgical approaches to the aberrant right subclavian artery. From 2000 through 2004, 3 children and 1 adult with aberrant right subclavian artery underwent operation. Our surgical approach varied according to the age of the patient. A muscle-sparing right thoracotomy was used in the pediatric patients, and a supraclavicular approach was used in the adult. Patients were treated successfully by division of the aberrant right subclavian artery and translocation to the right common carotid artery, without graft interposition. There was no operative or late morbidity or death. Symptoms were completely relieved in all patients. Although an extrathoracic approach is applicable and reliable for adult patients, we believe that adequate exposure for the described procedure is best accomplished through a right thoracotomy in pediatric patients. This approach enables optimal mobilization of the distal right subclavian artery without leaving a long stump and enables direct anastomosis to the ipsilateral carotid artery.

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Figures

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Fig. 1 A) Preoperative esophagram shows marked posterior compression (arrow) on the proximal esophagus in patient 2. B) Postoperative esophagram shows release of compression on the proximal esophagus in the same patient.
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Fig. 2 Digital subtraction angiogram of the thoracic aorta shows aberrant right subclavian artery (arrow) in patient 4.
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Fig. 3 Intraoperative view of aberrant right subclavian artery (clamped) in patient 3.
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Fig. 4 Postoperative magnetic resonance angiogram shows translocation of the aberrant right subclavian artery to the right common carotid artery (arrow) in patient 4.
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Fig. 5 Schematic drawing shows path of the aberrant right subclavian artery (RSA) and surgical correction.
See this image and copyright information in PMC

References

    1. Bayford D. An account of a singular case of obstructed deglutition. Memoirs Med Soc London 1794;2:275–86.
    1. Kieffer E, Bahnini A, Koskas F. Aberrant subclavian artery: surgical treatment in thirty-three adult patients. J Vasc Surg 1994;19:100–11. - PubMed
    1. Bull PG, Denck H. Aberrant right subclavian artery. Eur J Vasc Surg 1994;8:757–60. - PubMed
    1. Freed K, Low VH. The aberrant subclavian artery. AJR Am J Roentgenol 1997;168:481–4. - PubMed
    1. Molz G, Burri B. Aberrant subclavian artery (arteria lusoria): sex differences in the prevalence of various forms of the malformation. Evaluation of 1378 observations. Virchows Arch A Pathol Anat Histol 1978;380:303–15. - PubMed

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