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Case Reports
. 2023 Feb 21;2023(2):rjad054.
doi: 10.1093/jscr/rjad054. eCollection 2023 Feb.

Translocation of aberrant right subclavian artery to the ascending aorta-a treatment for dysphagia lusoria

Stephanie Chan  1 , Gary Fermanis  1
Affiliations
Case Reports

Translocation of aberrant right subclavian artery to the ascending aorta-a treatment for dysphagia lusoria

Stephanie Chan et al. J Surg Case Rep. .

Abstract

Generally, an aberrantly coursing right subclavian artery (ARSA), also known as 'arteria lusoria', is an incidental diagnosis of no clinical consequence. Where correction is indicated, popular practice is for decompression via staged percutaneous +/- vascular methods. Open/thoracic options for correction are not widely discussed. We report the case of a 41-year-old woman with dysphagia secondary to ARSA. Her vascular anatomy precluded staged percutaneous intervention. The ARSA was translocated to the ascending aorta via thoracotomy, utilizing cardiopulmonary bypass. Our technique is a safe option for low-risk patients with symptomatic ARSA. It obviates the need for staged surgery and removes the risk of carotid-to-subclavian bypass failure.

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Figures

Figure 1
Figure 1
LVA: Left vertebral artery, LSA: left subclavian artery, AL: arteria lusoria, RPA: right pulmonary artery, AoAr: aortic arch.
Figure 2
Figure 2
AscAo: ascending aorta, IG: interposition graft, RSA: right subclavian artery.
See this image and copyright information in PMC

References

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    1. Polguj M, Stefanczyk L, Topol M. The epidemiological, morphological, and clinical aspects of the aberrant right subclavian artery (arteria lusoria). In: Epidemiology of communicable and non-communicable diseases. IntechOpen; 2016: 75–86.
    1. Shadman Baig M, Timaran CH. Upper extremity aneurysms. In: Sidaway AN, Perler BA (eds). Rutherford’s Vascualr Surgery and Endovascular Therapy, Chapter 84. Philadelphia, PA: Elsevier, 2018, 1095–108.

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