Original Articles from the New England Society for Vascular SurgeryAberrant right subclavian artery: Varied presentations and management options*
Section snippets
Case 1
A 32-year-old woman had an evaluation for a recent onset of dysphagia, which had slowly increased in severity. She also complained of a full sensation in her neck as though she had a “lump in her throat.”
On physical examination, she was found to be a healthy appearing 32-year-old woman with no contributing abnormalities. Pulse examination was normal with equal upper extremity blood pressures in both right and left arms. An upper gastrointestinal barium study was obtained and revealed a
Discussion
The first reported case of dysphagia caused by an aberrant right subclavian artery was by Hunauld2 in 1735 according to the earliest significant review of this anomaly in 1899 by Holzapfel.3 Bayford4 was the first to outline the anatomic abnormality and actually attribute it to the symptoms it may produce. He used the term dysphagia lusus naturae meaning dysphagia caused by a freak of nature. Since that time the term has been shortened to dysphagia lusoria. There were random reports in the
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Cited by (55)
Hybrid repair of a distal aortic arch aneurysm with aberrant right subclavian artery and Kommerell's diverticulum: A case report
2022, International Journal of Surgery Case ReportsEndovascular management of subclavian-steal syndrome in a patient with post-traumatic dissection of an aberrant right subclavian artery
2021, Annals of Vascular SurgeryCitation Excerpt :Because of their similar sizes, an aberrant right subclavian artery could, theoretically, be at the same risk as a left subclavian artery for the development of early symptomatic occlusive disease.9 Although ostial arteria lusoria stenosis has been described in the literature, it seems that occlusive disease of the aberrant subclavian artery tends to occur not at the ostium of the artery or at the vertebral artery origin, but at the point where the vessel passes between the esophagus and the vertebral column.8-10 These structures could cause mechanical stress that alters the local hemodynamics of the vessel wall promoting occlusive lesions.
Contemporary surgical approaches and outcomes in adults with kommerell diverticulum
2014, Annals of Thoracic SurgeryCitation Excerpt :In the few cases in which the patients had issues with transient nerve injury to the recurrent laryngeal nerve or phrenic nerve, they were allowed to recover completely before proceeding with the second-stage operation on the contralateral side. We have been reluctant to reconstruct the subclavian artery in the anomalous location out of concern for erosion, bleeding, or risk of dysphagia [2]. Our management of KD has evolved with time.
Successful management of massive bleeding due to aberrant right subclavian artery-esophageal fistula in a child with head injury
2014, Journal of Pediatric Surgery Case ReportsRepair of aberrant right subclavian artery entirely via a supraclavicular approach
2014, Annals of Vascular SurgeryEndovascular treatment of a left subclavian pseudoaneurysm induced by ingestion of a foreign body
2013, Annals of Vascular Surgery
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Reprint requests: William M. Stone, MD, Mayo Clinic Scottsdale, 13400 E. Shea Blvd., Scottsdale, AZ 85259.