Symptomatic Aberrant Right Subclavian Artery: Advantages of a Less Invasive Surgical Approach

We present the case of a 33-year-old woman with a non-aneurysmal, symptomatic aberrant right subclavian artery (ARSA) traveling posterior to the esophagus, as demonstrated on chest computed tomography (CT) scans. She was treated with a less invasive surgical approach: closure of the anomalous vessel...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2020, Vol.26(2), pp.104-107
Main Authors: Amore, Dario, Casazza, Dino, Casalino, Alfonso, Valente, Tullio, Rosa, Rosanna Carmela De, Sangiuolo, Paolo, Curcio, Carlo
Format: Article
Language:English
Subjects:
arteria lusoria
dysphagia
less invasive surgical approach
New Method
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Summary:We present the case of a 33-year-old woman with a non-aneurysmal, symptomatic aberrant right subclavian artery (ARSA) traveling posterior to the esophagus, as demonstrated on chest computed tomography (CT) scans. She was treated with a less invasive surgical approach: closure of the anomalous vessel close to its origin from the aortic arch, through a left thoracoscopic procedure, followed by right common carotid-subclavian artery transposition via an open right supraclavicular approach. This method avoids the postoperative morbidity associated with open thoracic surgery and allows a clear identification of the anatomic structures minimizing possible procedure-related complications as a long residual arterial stump.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.nm.19-00206