Aberrant Right Subclavian Artery Dysphagia Diets

1. Aberrant right subclavian artery | Radiology Reference Article | Radiopaedia.org
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Aberrant right subclavian arteries (ARSA), also known as arteria lusoria, are one of the commonest of the aortic arch anomalies. The estimated incidence is 0. 5-2%. They are often asymptomatic, but around 10% of people may complain of tracheo-esophageal symptoms, almost always as dysphagia, termed dysphagia lusoria 3. Course Instead of being the first branch (with the right common carotid as the brachiocephalic artery), it arises on its own as the fourth branch, distal to the left subclavian artery.

Aberrant right subclavian artery | Radiology Reference Article | Radiopaedia.org

What is an aberrant right subclavian artery? - Quora

Aberrant right subclavian artery dysphagia diets treatment

The appearance of respiratory symptoms in the form of intermittent attacks of stridor, which were presumably caused by stagnation of food in the oesophagus and weight loss, triggered further investigations. The majority of patients with ARSA are asymptomatic and require no further treatment. To avoid further complications, patients with symptoms related to oesophageal or tracheal compression and those with aneurismal dilatation, need surgical intervention. Primarily, surgery will ligate the aberrant artery followed by restoration of blood flow to the right arm by anastomosing the ARSA to either the right common carotid artery, aortic arch or ascending aorta, with or without interposition graft [ 7]. Failure to ligate the artery close to its origin may lead to residual dysphagia [ 8]. Simple ligation and division without restoring blood flow to the right arm may cause subclavian steal syndrome, arm ischemia and gangrene [ 9]. This can be achieved by a variety of surgical approaches including median sternotomy, left thoracotomy, right supraclavicular approach, combined left thoracotomy and right supraclavicular approach or right thoracotomy [ 10].

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Aberrant subclavian artery - Wikipedia

1. Aberrant Right Subclavian Artery - Heart Disease - MedHelp
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3. Non-aneurysmal aberrant right subclavian artery causing dysphagia in a young girl: challenges encountered using supraclavicular approach | Journal of Cardiothoracic Surgery | Full Text
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Aberrant Right Subclavian Artery

Each technique has its limitations and potential complications. In the present case, a right supraclavicular approach was used, to provide exposure with a single incision. This approach was used in previous studies [ 2, 10 – 13], with satisfactory results and minimal morbidity. However, this approach requires dissection in a limited area especially behind the oesophagus and near the origin of the aberrant artery, which is a deeply situated structure that is difficult to reach. To overcome these difficulties, dissection can be facilitated with the aid of cervical mediastinoscopy that was found highly effective, as indicated by previous studies [ 12, 14]. Other investigators [ 11, 15] successfully used a hybrid endovascular approach. Here the origin of the artery was occluded by using Amplatzer plug, followed by anastomosing the divided ARSA to the right common carotid through supraclavicular approach. Despite meticulous dissection in our patient, various challenges were encountered. An associated aberrant right thoracic duct was recognised after being injured and repaired.

Collection by Tami Novak 15 Pins • 134 Followers Aortic Arch: Major Branch Order - Health Insurance Quotes Thorax - Vessels - Arteries - Ascending aorta Instant anatomy is a specialised web site for you to learn all about human anatomy of the body with diagrams, podcasts and revision questions Dysphagia lusoria | Radiology Case | The diagnosis of dysphagia lusoria in this case was suspected on the barium swallow and confirmed on CT. The abberant right subclavian artery is passing posterior to the esophagus, but may pass anterior to the esophagus, either between the trache... (PDF) The Aberrant Right Subclavian Artery (Arteria Lusoria): The Morphological and Clinical Aspects of One of the Most Important Variations—A Systematic Study of 141 Reports PDF | The most important abnormality of the aortic arch is arguably the presence of an aberrant right subclavian artery (arteria lusoria). If this... | Find, read and cite all the research you need on ResearchGate Aberrant right subclavian artery | Radiology Case | An aberrant right subclavian artery arises as the last branch off a left-sided aortic arch and courses obliquely and superiorly behind the trachea and esophagus to resume its normal course.