Innominate artery injury is an uncommon consequence of blunt trauma to the neck due its protected position behind thorax. A 38-year-old male presented as a with right-sided pseudoaneurysm emanating from distal innominate after falling three-story building. On imaging, he also had bovine arch. He underwent hybrid repair covered stent placement common carotid into artery, carotid-subclavian bypas...

Figure 2: (A, anterior view) Volume-rendering reconstruction from computed tomography scan revealed that the following branches were arising from the abnormal aortic arch: left common carotid artery, right common carotid artery, right subclavian artery and left subclavian artery. The left common carotid artery contributed to the partial vascular ring; however, there were no symptoms of trachea-...

Aberrant right subclavian artery is the most common anomaly of the aortic arch. Patients are often asymptomatic and discovered accidentally. Occasionally, they present with symptoms related to oesophageal or tracheal compression.A 13-year-old girl presented with dysphagia and stridor was found to have an aberrant right subclavian artery. Surgical division and reconstruction of the artery was pe...

Radiation and tumor infiltration confer a high risk of bleeding on surgical removal of tumor. We report on the case of a 42-year-old woman with a recurrent occult subclavian tumor in her right breast. Computed tomography revealed enhanced tumor adhesion to the subclavian artery at the infraclavicular lymph node. No other metastases were detected. We pre-operatively performed stenting of the rig...

An anomalous right subclavian artery arising from the left side of the aortic arch distal to the left subclavian artery was first described by Hunauld (1735). In most cases the artery passes behind the oesophagus to reach the right side of the neck. The defect is usually attributed to a failure of development of the fourth right aortic arch, the caudal part of the right dorsal aorta persisting,...

The number of patients admitted to hospital with major cardiovascular injuries following high-speed motor vehicle accidents is increasing. Injury to the left subclavian artery is well documented but there are only two case reports of injury to the right subclavian artery following blunt trauma without fractures of the clavicle or first rib. In one of the patients the artery was transected dista...

Rev Esp Cardiol 2003;56(8):817 817 A 38-year-old woman with no relevant clinical history was referred to the cardiology department by the gastroenterologist to assess symptoms of dysphagia. The esophagogram demonstrated a left posterior concave notch in the medial portion of the esophagus, of probable vascular etiology. A transthoracic echocardiogram ruled out associated congenital heart diseas...

Aneurysms of the subclavian-axillary segment are rare, but when diagnosed they must be treated. This article describes two cases of aneurysms of the upper extremities, one in a subclavian artery and the other in an axillary artery. The first case was a 71-year-old male with a pulsating supraclavicular bulge on the right and muscle weakness in the ipsilateral extremity. Duplex scanning and arter...

Aberrant right subclavian artery with coexisting common carotid trunk is an extremely rare congenital anomaly affecting <0.1% of the population. We report the case of a 77-year-old Caucasian man presenting with dysphagia and dyspnea secondary to an aberrant right subclavian artery aneurysm and describe our technique for open surgical repair.

Compression of the airway by vascular anomalies is a co-morbidity occurring frequently in children with congenital heart diseases. Here we presented a cohort of 7 patients with respiratory distress who showed airway compression due to vascular anomalies on evaluated with multidetector computed tompgraphy. The anomalies detected were double aortic arch, left sided aortic arch with aberrant right...