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Prevalence And Anatomy Of Aberrant Right Subclavian Artery Evaluated By Computed Tomographic Angiography At A Single Institution In Korea

Y. Choi, S. B. Chung, M. Kim
Published 2019 · Medicine

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Objective Aberrant right subclavian artery (ARSA) is a rare anatomical variant of the origin of the right subclavian artery. ARSA is defined as the right subclavian artery originating as the final branch of the aortic arch. The purpose of this study is to determine the prevalence and the anatomy of ARSA evaluated with computed tomography (CT) angiography. Methods CT angiography was performed in 3460 patients between March 1, 2014 and November 30, 2015 and the results were analyzed. The origin of the ARSA, course of the vessel, possible inadvertent ARSA puncture site during subclavian vein catheterization, Kommerell diverticula, and associated vascular anomalies were evaluated. We used the literature to review the clinical importance of ARSA. Results Seventeen in 3460 patients had ARSA. All ARSAs in 17 patients originated from the posterior aspect of the aortic arch and traveled along a retroesophageal course to the right thoracic outlet. All 17 ARSAs were located in the anterior portion from first to fourth thoracic vertebral bodies and were located near the right subclavian vein at the medial third of the clavicle. Only one of 17 patients presented with dysphagia. Conclusion It is important to be aware ARSA before surgical approaches to upper thoracic vertebrae in order to avoid complications and effect proper treatment. In patients with a known ARSA, a right transradial approach for aortography or cerebral angiography should be changed to a left radial artery or transfemoral approach.
This paper references
10.4103/0366-6999.207463
Abnormal Origin of the Right Subclavian Artery: A Case Report
Xing-hua Jiang (2017)
Bombeck CT : Unusual complication of naso gastric esophageal intubation-erosion into an aberrant right subclavian artery
FJ Merchant (1977)
10.1007/s00270-007-9177-4
Interventional Management of Massive Hemothorax Due to Inadvertent Puncture of an Aberrant Right Subclavian Artery
T. Jahnke (2007)
Haramati LB : Vari- ants and anomalies of thoracic vasculature on computed tomographic angiography in adults
NS Berko (2009)
10.1016/j.crad.2011.04.004
Bovine aortic arch: a novel association with thoracic aortic dilation.
C. Malone (2012)
10.1002/1098-2353(200101)14:1<62::AID-CA1012>3.0.CO;2
Unusual aortic arch variation: distal origin of common carotid arteries.
M. L. Nelson (2001)
10.1016/j.clinimag.2013.07.008
Frequency and imaging findings of variations in human aortic arch anatomy based on multidetector computed tomography data.
Z. R. Y. Celikyay (2013)
An account of singular case of obstructed deglutition
D Bayford (1794)
10.1111/J.1447-073X.2004.00068.X
Retroesophageal right subclavian artery with persistent ductus arteriosus
R. Tubbs (2004)
10.1016/S0025-6196(12)60196-7
Aneurysm of an aberrant right subclavian artery: case report and review of the literature.
P. D. Kiernan (1993)
10.1016/S1726-4901(09)70391-0
Dissection of arteria lusoria by transradial coronary catheterization: a rare complication evaluated by multidetector CT.
I-Lun Huang (2009)
Unusual complication of nasogastric esophageal intubation-erosion into an aberrant right subclavian artery.
Merchant Fj (1977)
10.1016/S0022-5223(19)34517-9
Vascular anomalies causing tracheoesophageal compression. Review of experience in children.
C. Backer (1989)
10.1111/J.1442-2050.2007.00787.X
Dysphagia lusoria: a comprehensive review.
B. Levitt (2007)
10.1016/j.crad.2010.02.003
Frequency of variations in aortic arch anatomy depicted on multidetector CT.
G. Jakanani (2010)
Anatomical Variations in Aortic Arch Branching Pattern.
Bahman Jalali Kondori (2016)
A : Repair of an aber- rant subclavian arterioesophageal fistula following esophageal stent
MA Hosn (2014)
Tsikaras PD : Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review
KI Natsis (2009)
10.1097/RCT.0b013e3181888343
Variants and Anomalies of Thoracic Vasculature on Computed Tomographic Angiography in Adults
N. Berko (2009)
10.1016/S0344-0338(89)80093-7
Acute bacterial aortitis resulting in an aortoesophageal fistula. A fatal complication of untreated esophageal carcinoma.
D. Gable (1989)
10.4240/wjgs.v6.i6.117
Repair of an aberrant subclavian arterioesophageal fistula following esophageal stent placement.
M. A. Hosn (2014)
10.1007/s00276-008-0442-2
Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review
K. Natsis (2008)
Anastasopoulos N : A bicarotid trunk in association with an aberrant right subclavian artery
K Natsis (2011)
10.7860/JCDR/2015/14219.6253
Two Common Trunks Arising From Arch of Aorta: Case Report and Literature Review of A Very Rare Variation.
Chittapuram Srinivasan Ramesh Babu (2015)
10.1186/1472-6815-4-1
Tracheostomy reveals a rare aberrant right subclavian artery; a case report
N. Chadha (2004)
10.1017/S0022215110001362
Tracheotomy bleeding from an unusual tracheo-arterial fistula: involvement of an aberrant right subclavian artery.
C. Desvant (2010)
Kommerell Diverticulum in Adults: Evaluation of Routine CT Examinations.
T. Ichikawa (2016)
10.1016/S0741-5214(96)70103-9
Survival after aberrant right subclavian artery-esophageal fistula: case report and literature review.
R. G. Miller (1996)
10.1111/j.1572-0241.2000.02071.x
Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy
M. Janssen (2000)
10.5603/FM.2013.0019
Anatomy and radiology of the variations of aortic arch branches in 1,266 patients.
G. Vucurevic (2013)
Tahsini MR : Anatomical varia- tions in aortic arch branching pattern
B Jalali Kondori (2016)
A bicarotid trunk in association with an aberrant right subclavian artery. Report of two cases, clinical impact, and review of the literature.
K. Natsis (2011)
Esophageal-aortic erosion associated with double aortic arch and tracheomalacia. Experience with 2 infants.
H. Heck (1993)
10.1097/MLG.0b013e318156a04a
Potential Structures That Could Be Confused With a Nonrecurrent Inferior Laryngeal Nerve: An Anatomic Study
E. Maranillo (2008)
10.1016/j.spinee.2010.11.016
Aberrant right subclavian artery encountered during debridement of T2 osteomyelitis and associated phlegmon.
S. W. Thorpe (2011)
10.1016/j.avsg.2015.05.008
Prevalence of Bovine Aortic Arch Configuration in Adult Patients with and without Thoracic Aortic Pathology.
Pamela A Moorehead (2016)
10.1258/ar.2011.110013
Variations of the aortic arch – a study on the most common branching patterns
Marguerite Mueller (2011)
Unusual complication of nasogastric esophageal intubation-erosion into an aberrant right subclavian artery.
F. Merchant (1977)
10.1002/hed.20854
Retroesophageal subclavian artery—Esophageal fistula: A rare complication of a salivary bypass tube
Jared C. Inman (2008)
10.7860/JCDR/2015/14931.6722
An Anomalous Right Subclavian Artery with a Retrotracheal Course: A Case Report.
Tintu Thottiyil Sukumaran (2015)
tasopoulos N : A bicarotid trunk in association with an aberrant right subclavian artery. Report of two cases, clinical impact, and review of the literature
K Natsis (2011)



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