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Case Reports
. 2023 Jul:108:108434.
doi: 10.1016/j.ijscr.2023.108434. Epub 2023 Jun 22.

Minimally invasive approach in symptomatic aberrant right subclavian artery treatment

M J Najafi  1 , M Davoodi  2 , Gh A Godazandeh  3 , A Zahmatkesh  3 , N Faghani  3 , R Bashiri  3
Affiliations
Case Reports

Minimally invasive approach in symptomatic aberrant right subclavian artery treatment

M J Najafi et al. Int J Surg Case Rep. 2023 Jul.

Abstract

Introduction and importance: Anomalous right subclavian artery (ARSA) represents an uncommon anatomical deviation concerning the genesis of the right subclavian artery. As the predominant embryological irregularity of the aortic arch, it is clinically recognized as arteria lusoria (AL).

Case presentation: This study, describe the instance of a 22-year-old female exhibiting a non-aneurysmal, symptomatic anomalous right subclavian artery (ARSA) coursing posteriorly to the esophagus, as evidenced by thoracic computed tomography (CT) imaging.

Clinical discussion: As an attractive option, a minimally invasive surgical method was used to treat the patient, and the anomalous vessel was closed from the closest location to its origin in the aortic arch during a short time thoracoscopic surgery.

Discussion, conclusion: Compared to the common surgical methods to treat this anomaly, the complications and morbidity resulting from this method are much less and the length of stay in the hospital is shorter and the results are acceptable.

Keywords: Arteria Lusoria; Dysphagia; Minimally invasive surgical approach.

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Conflict of interest statement

Conflict of interest statement There is no conflicts of interest.

Figures

Fig. 1
Fig. 1
a and b Barium-contrast examination of the upper gastrointestinal tract: (A) a well define defect in upper esophagus due to compression/ compressing effect on upper esophagus (B) lateral view.
Fig. 2
Fig. 2
a and b A contrast-enhanced CT scan performed for surgery planning and shows: (A) a non-aneurysmal arteria lusoria (red arrow) and (B) compressed and narrowed esophagus (red arrow).
Fig. 3
Fig. 3
a and b Intraoperative view of video-assisted thoracoscopic surgery. (A) Isolation of the arteria lusoria close to the aortic arch with vessel loop. (B) Mechanical stapling device for closure of the arteria lusoria. ARSA: aberrant right subclavian artery; RCCA: right common carotid artery.
Fig. 4
Fig. 4
a and b Preoperative contrast-enhanced CT scan shows: a non-aneurysmal arteria lusoria stump after surgery.
See this image and copyright information in PMC

References

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