Retro-oesophageal right subclavian artery in association with thyroid ima artery: a case report, clinical impact and review of the literature
| Autor: | Maria Piagkou, Nikolaos K. Lazaridis, Anna Gkiouliava, Konstantinos Natsis, Matthaios Didagelos |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
0301 basic medicine Aortic arch Thyroid ima artery medicine.medical_specialty Histology Cardiovascular Abnormalities Subclavian Artery Aorta Thoracic 03 medical and health sciences 0302 clinical medicine Right Common Carotid Artery medicine.artery medicine Humans Arteria lusoria business.industry Aneurysm Dysphagia Trunk Surgery Chronic cough Cardiothoracic surgery Female 030101 anatomy & morphology Radiology Anatomy medicine.symptom Deglutition Disorders business 030217 neurology & neurosurgery |
| Zdroj: | Folia Morphologica. 75:130-135 |
| ISSN: | 1644-3284 0015-5659 |
| DOI: | 10.5603/fm.a2015.0080 |
| Popis: | A 37-year-old female Caucasian cadaver with an aberrant right subclavian artery extending from the left side of the aortic arch and following a retro-oesophageal course is presented. A non-recurrent right laryngeal nerve and a thyroid ima artery arising from the lower part of the middle third of the right common carotid artery coexisted. The brachiocephalic trunk was absent, while both common carotid arteries and left subclavian artery followed their normal course. The aim of the current study is to highlight the clinical impact of the above abnormalities providing useful and practically applicable knowledge to interventional clinicians, thoracic and neck surgeons, since the vast majority of documented cases with an arteria lusoria are clinically silent and in most cases discovered incidentally. Clinical manifestations such as dysphagia, chronic cough, and acute ischaemia to the right upper limb may occur, leading to misinterpretation in radiographic examination and complications during neck and thoracic surgery. Review of the literature was also performed and the embryological background of the aberration is highlighted. |
| Databáze: | OpenAIRE |
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