Retrotracheal Aberrant Right Subclavian Artery: Congenital Anomaly or Postsurgical Complication?

Autor: Paul H. Sammut, Gordon Gray Still, Lincoln Wong, Mark Wilson, Shuo Li
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Global Pediatric Health, Vol 5 (2018)
Global Pediatric Health
Popis: The aberrant right subclavian artery (ARSA) was first described by Hunauld in 1735, with the clinical symptom of the so-called “dysphagia lusoria” or “difficulty in swallowing due to a quirk of nature,” as described by David Bayford in 1787.1 In Bayford’s words, the symptoms “may be called lusoria, from Lusus Naturae that gives rise to it.”2 It is also known as arteria lusoria as suggested by Arkin.3 ARSA is one of the most common intrathoracic vascular anomalies. The majority of ARSA involves the subclavian artery passing posterior to the esophagus and rarely, if ever, passing in front of the esophagus.4 To our knowledge, this is the first case of ARSA with imaging correlation of a course anterior to the esophagus, interposing between the trachea and esophagus in a living patient. We discuss the available literature on epidemiology, embryology, diagnosis, and possible management of this rare vascular anomaly, in addition to the vascular anomalies associated with repair of esophageal atresia (EA) and tracheoesophageal fistula (TEF).
Databáze: OpenAIRE