P08.09: Aberrant right subclavian artery associated with cardiac malformation and 21 trisomy: prenatal diagnosis and case presentation

2010 ◽  
Vol 36 (S1) ◽  
pp. 197-197
Author(s):  
G. Iliev
2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Mahmoud Yousef Ibrahim Abuharb ◽  
Bian Xiao Ming ◽  
He Jian

Abstract Background An aberrant right subclavian artery which arises from the proximal descending aorta may result in aortic dissection. The dissection may occur at either the site of the primary intimal tear or from an aortic branch. These conditions may lead to blood flow limitation and possible aneurysmal degeneration in the future. Case presentation We described the clinical presentation and management of a 54-year old patient diagnosed with a rare case of an aberrant right subclavian artery with Stanford Type B aortic dissection. A hybrid surgical approach was successfully performed and the patient had an uneventful recovery. Conclusion Even though aortic dissection is often an incidental finding, this case highlighted that in rare situations, it can be associated with an aberrant right subclavian artery. It is important to disseminate this association as it has profound diagnostic and therapeutic implications in safeguarding the clinical outcomes of patients with such condition.


2020 ◽  
Vol 47 (1) ◽  
pp. 359-367
Author(s):  
Cristina Martínez‐Payo ◽  
Elena Suanzes ◽  
Yolanda Nieto‐Jiménez ◽  
Miguel Ruiz de Azúa ◽  
Ana Siles ◽  
...  

2014 ◽  
Vol 22 (1) ◽  
pp. 61-63
Author(s):  
Özge Kızılkale ◽  
Canan Yılmaz Torun ◽  
Mert Yeşiladalı ◽  
Pınar Cenksoy ◽  
Gazi Yıldırım ◽  
...  

Author(s):  
Cátia Sofia Ferreira Pinto Lourenço ◽  
Ana Luísa Carriço ◽  
Francisco Manuel da Silva Valente

Abstract Objective The objective of the present study was to determine the frequency of malformations and chromosomal abnormalities in a population of fetuses with an aberrant right subclavian artery (ARSA). Methods This is a 6-year retrospective study of fetuses with a prenatal diagnosis of ARSA conducted during the period between September 2013 and June 2019 at a fetal medicine unit. Data were collected from ultrasound, fetal echocardiograms, genetic studies, and neonatal records. Results An ARSA was diagnosed in 22 fetuses. An ARSA was an isolated finding in 18 out of 22 cases (82%). Associated abnormal sonographic findings were found in 4 cases. All cases underwent invasive testing. In 1 of the cases, a chromosomal abnormality was detected (mos 45,X [13]/46,X,e(X) (p22.1q22.1)). No cases of congenital heart disease were found in any of these fetuses. There were two cases in which the postnatal evaluation revealed a malformation: one case of hypospadias and 1 case of cleft palate. Conclusion The presence of an isolated ARSA is benign and is not associated with chromosomal abnormalities. The finding of ARSA, however, warrants a detailed fetal ultrasound in order to exclude major fetal abnormalities and other soft markers.


2021 ◽  
Author(s):  
Kazunori Koyama ◽  
Toru Watanabe ◽  
Hideaki Kato ◽  
Masahiko Kawaguchi

Abstract Background Aberrant right subclavian artery (ARSA) accompanied by non-recurrent inferior laryngeal nerve (NRILN) is a rare anomaly. In cases of thoracic esophageal carcinoma associated with ARSA and NRILN, surgeons must take extra care not to injury these vessels and nerves. We believe semi-prone thoracoscopic esophagectomy to be a surgical approach that can safely deal with such an anomaly. Case presentation: A 70-year-old man complained of feelings of chest constriction. Endoscopic examination revealed an esophageal tumor and computed tomography showed an ARSA. we performed semi-prone thoracoscopic esophagectomy for case with ARSA and NRILN. We identified these anomalies during esophagectomy, and we could complete surgery without injury these vessels and nerves. The patient had an uneventful recovery and discharged 22 days after surgery. Conclusions Semi-prone thoracoscopic esophagectomy for esophageal carcinoma can be performed safely with a wide operative field, and is an excellent procedure for dissecting esophageal carcinoma in patients with ARSA and NRILN.


Author(s):  
M.V. Medvedev, N.A. Altynnik, A.I. Zamiatina et all

Six cases of prenatal ultrasound diagnosis of aberrant right subclavian artery at 12+2–14+2 weeks of gestation are presented. To 5 cases earlier published was added a case of prenatal diagnosis of the right aberrant subclavian artery in fetus with multiple congenital abnormalities at 13+3 weeks of gestation. Opportunities of early prenatal ultrasound diagnosis of the right aberrant subclavian artery on first screening are discussed.


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