Affiliation:
1. State University of Education
2. M. F. Vladimirsky Moscow Regional Research Clinical Institute
3. N. N. Burdenko Voronezh State Medical University
Abstract
Developmental anomalies of the aortic arch and its large vessels can be accompanied not only by hemodynamic disorders, but also affect the functions of internal organs. This report analyzes the case of an autopsy finding of the right aberrant subclavian artery in an 80-year-old patient, which was clinically manifested by the development of dysphagia and cachexia. An autopsy revealed the absence of the brachiocephalic trunk, which normally originates from the arch of the authors, as well as an abnormal origin of the right subclavian artery from the posterior surface of the aortic arch, 1,1 cm to the left and distal to the orifice of the left subclavian artery. The proximal segment of the abnormal vessel, up to 1,0 cm in diameter, was located between the spinal column and the esophagus, leading to its compression.
Subject
General Earth and Planetary Sciences,General Environmental Science
Reference8 articles.
1. Medvedev M. V., Altynnik N. A., Buryakova S. I., Kubrina M. V., Voytuk E. G. et al. Prenatal diagnosis and perinatal outcome of the aberrant right subclavian artery: a multicenter analysis of 85 cases. Prenatal Diagnosis. 2021; 20 (2): 106–115. (In Russ.).
2. Syromyatnikov D. D., Gidaspov N. A., Arakelyan V. S. The anomaly of the aortic arch and its branches: arteria lusoria as the cause of respiratory insufficiency in infancy. Clinical features, diagnosis and surgical treatment. Children’s Heart and Vascular Diseases. 2016; 13 (3): 159–162 (in Russ.)
3. Allen D., Bews H., Vo M., Kass M., Jassal D. S., Ravandi A. Arteria Lusoria: An Anomalous Finding during Right Transradial Coronary Intervention. Case Reports in Cardiology. 2016; 2016: 1–3.
4. Alourfi M., Mosli M. A Rare Case of Adult Dysphagia: Dysphagia Lusoria. ACG Case Reports Journal. 2020 Jul; 7 (7): e00428. doi: 10.14309/crj.0000000000000428
5. Hanneman K., Newman B., Chan F. Congenital Variants and Anomalies of the Aortic Arch. RadioGraphics. 2017 Jan; 37 (1): 32–51. doi: 10.1148/rg.2017160033