Retroesophageal Right Subclavian Artery: A Case Report

  • Maryam Lale Ataei Department of Anatomical Sciences, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Raziyeh kheirjou Department of Anatomical Sciences, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Susan Mohammadi Department of Radiology, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
  • Nastaran Hesam Shariati School of Medical Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia.
  • Fardin Fathi Cellular and Molecular Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
  • Mohammad bakhtiar Hesam Shariati Mail Department of Anatomical Sciences, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Keywords:
Subclavian artery, Anatomic variation, Aortic arch, Case report, Multidetector computed tomography

Abstract

Numerous variations of vessels arising from the aortic arch have been reported. One of the common anatomical variations in the right subclavian artery originating as the last branch of the aortic arch. This report demonstrates two cases of the retroesophageal right subclavian artery in an adult male and female. To highlight the significance of a retro esophageal right subclavian artery, especially its clinical and surgical implications. Multi-slice computed tomography (CT) of a case of an anomalous vessel. This report shows a retro esophageal subclavian artery originating as the last branch from the postero-lateral aspect of the thoracic aorta at the vertebral level T4. No abnormality was seen neither in the heart nor in no other vascular system in this region. Radiologists mainly encounter a retroesophageal right subclavian artery incidentally and are usually described as asymptomatic, but several clinical conditions have been associated with this kind of occurrence.

 

 

References

1. Adachi B. Das arteriensystem der Japaner. Band. 1928.
2. Mitchell J. Differences between left and right suboccipital and intracranial vertebral artery dimensions: an influence on blood flow to the hindbrain? Physiotherapy research international. 2004;9(2):85-95.
3. Larsen WJ, Sherman LS, Potter SS, Scott WJ. Human embryology: Churchill Livingstone New York; 1993.
4. Roland CF, Cherry KJ. Symptomatic atherosclerotic stenotic disease of an aberrant right subclavian artery. Annals of vascular surgery. 1991;5(2):196-8.
5. B. K. Verlagerung des Osophagus durch eine
abnorm verlaufende Arteria subclavia dextra (Arteria
lusoria). Fortschr Geb Rontgenstr 1936:54:590-5.
6. Ocaya A. Retroesophageal right subclavian artery: a case report and review of the literature. African health sciences. 2015;15(3):1034-7.
7. Fazan VPS, Ribeiro RA, Ribeiro JAS, Rodrigues Filho OA. Right retroesophageal subclavian artery. Acta Cirurgica Brasileira. 2003;18:54-6.
8. Brown DL CW, Edwards WH , Coltharp WH ,, WS S. Dysphagia lusoria: Aberrant right subclavian
artery with a Kommerell's diverticulum. Annals of vascular surgery. 1993:59: 582 - 6.
9. Donnelly LF, Fleck RJ, Pacharn P, Ziegler MA, Fricke BL, Cotton RT. Aberrant subclavian arteries: cross-sectional imaging findings in infants and children referred for evaluation of extrinsic airway compression. American Journal of Roentgenology. 2002;178(5):1269-74.
10. Polguj M, Chrzanowski Ł, Kasprzak JD, Stefańczyk L, Topol M, Majos A. The aberrant right subclavian artery (arteria lusoria): the morphological and clinical aspects of one of the most important variations—a systematic study of 141 reports. The Scientific World Journal. 2014;2014.
11. Sadler TW. Langman's medical embryology: Lippincott Williams & Wilkins; 2011.
12. Saito T, Tamatsukuri Y, Hitosugi T, Miyakawa K, Shimizu T, Oi Y, et al. Three cases of retroesophageal right subclavian artery. Journal of Nippon Medical School. 2005;72(6):375-82.
13. Gomes MM, Bernatz PE, Forth RJ. Arteriosclerotic aneurysm of an aberrant right subclavian artery. Diseases of the Chest. 1968;54(6):549-52.
14. Hollinshead WH. Anatomy for Surgeons; Vol. I: The Head and Neck: Harper and Row New York; 1968.
15. Williams G, Aff H, Schmeckebier M, Edmonds H, Graul E. Variations in the arrangement of the branches arising from the aortic arch in American whites and negroes. The Anatomical Record. 1932;54(2):247-51.
16. Donadel MM, Lontra MB, Cavazzola LT, Corso CO. Retroesophageal right subclavian artery: a case report and a review of literature. European Journal of Anatomy. 2007;11(1):57.
17. Momma K, Matsuoka R, Takao A. Aortic arch anomalies associated with chromosome 22q11 deletion (CATCH 22). Pediatric cardiology. 1999;20(2):97-102.
18. Binet J, Longlois J. Aortic arch anomalies in children and infants. The Journal of thoracic and cardiovascular surgery. 1977;73(2):248-52.
19. Nakajima Y, Nishibatake M, Ikeda K, Momma K, Takao A, Terai M. Abnormal development of fourth aortic arch derivatives in the pathogenesis of tetralogy of Fallot. Pediatric cardiology. 1990;11(2):69-71.
20. Boas N, Desmoucelle F, Bernadet V, Franceschi J-C. Rare cause of acute ischemia of the right upper extremity: thrombosis of a retroesophageal subclavian artery. Annals of vascular surgery. 2002;16(3):387-90.
21. Kanaskar N, Vatsalaswamy P, Sonje P, Paranjape V. Retroesophageal right subclavian artery. Advances in Anatomy. 2014;2014.
22. Farashah MSG, Shariati NH, Asghari R, Mohamadi S, Dolatkhah MA, Shariati MBH. Pulmonary Sequestration: A Case Report. Acta Medica Iranica. 2019;57(6):398-401.
23. Mohammadi S, Gholami Farashah MS, Asghari R, Rajabi F, Hesam Shariati N, Shariati H, et al. Case Report: Circumaortic Left Renal Vein. Anatomical Sciences Journal. 2017;14(4):179-82.
24. Mohammadi S, Farashah MSG, Frounchi N, Shoorei H, Shariati MBH. Retro Aortic Left Renal Vein: A Case Report and Brief Literature of Review.
Published
2020-07-28
How to Cite
1.
Ataei ML, kheirjou R, Mohammadi S, Hesam Shariati N, Fathi F, Hesam Shariati M bakhtiar. Retroesophageal Right Subclavian Artery: A Case Report. Acta Med Iran. 58(4):188-191.
Section
Case Report(s)