Aberrant right subclavian artery with atrial septal defect: Simultaneous repair via median sternotomy
| Autor: | Hina Inam, Waris Ahmad, Abdul Ahad Sohail, Narmeen Asif |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Aortic arch
medicine.medical_specialty medicine.medical_treatment Retroesophageal Article 03 medical and health sciences 0302 clinical medicine medicine.artery Aberrant right subclavian artery medicine otorhinolaryngologic diseases cardiovascular diseases Arteria lusoria Esophagus business.industry Dysphagia eye diseases Surgery medicine.anatomical_structure Median sternotomy 030220 oncology & carcinogenesis cardiovascular system 030211 gastroenterology & hepatology medicine.symptom Presentation (obstetrics) business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Aberrant Right Subclavian artery is also known as Arteria Lusoria. • Rarer congenital malformations of the aortic arch. • Causes compression of the trachea or esophagus causing dysphagia. • May occur simultaneously with an ostium secundum atrial septal defect. • Both conditions repaired simultaneously via Median Sternotomy. Introduction Aberrant right subclavian artery, also known as arteria lusoria, is one of the rarer congenital vascular malformations of the left sided aortic arch which arises distal to the left subclavian artery, following a retroesophageal course to the right side causing compression of the trachea or esophagus and resulting in a variety of symptoms most commonly dysphagia. Presentation of case We report a case of a two and a half year old child who was diagnosed as having as having an aberrant right subclavian artery with an ostium secundum atrial septal defect and underwent simultaneous repair of both conditions via a median sternotomy. Discussion Aberrant right subclavian artery (ARSA) has a prevalence of 1.8 % and most commonly presents in fourth or fifth decade of life. Various surgical approaches have been described to repair this anomaly over the past years, each with its own limitations and complications. However, the median sternotomy approach provides adequate exposure during division and re-implantation of the vessel and simultaneously allows repair of any intra-cardiac defect. Conclusion We believe that the best exposure for the correction of aberrant right subclavian artery is via a median sternotomy, especially in pediatric patients associated with other cardiac anomalies. |
| Databáze: | OpenAIRE |
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