The angiocardiograms of 17 patients with aortic arch interruption are reviewed to emphasize the variations in arch interruption and origin of the brachiocephalic vessels, and collateral circulation to the descending aorta. Depending on the anatomical type and subtype of arch interruption, collateral flow to the descending aorta in the presence of a stenotic or closed ductus will be dependent on...

A retro-oesophageal course of the right subclavian artery is referred to as "arteria lusoria". It may be related to severe compression of the trachea and oesophagus, typically resulting in impaired swallowing. The paper presents two patients with arteria lusoria, which in one patient was an aberrant right subclavian artery and in the other an aberrant left subclavian artery, originating from th...

A76-year-old woman presented with difficulty swallowing solid food and with shortness of breath. Her symptoms had developed over several months. She did not have odynophagia, had not experienced weight loss and did not drink alcohol or smoke. Her physical exam was unremarkable. Barium esophagography showed a posterior oblique indentation of the proximal esophagus slightly above the level of the...

Subclavian steal syndrome caused by an acute thrombus is very rare. We present a case of cerebellar infarction with proximal subclavian artery thrombosis. A 56-year-old woman was admitted for sudden vertigo. One day prior to admission, she received a shoulder massage comprised of chiropractic manipulation. On examination, her left hand was pale and radial pulses were absent. Blood pressure was ...

A 36-year-old patient under study due to extracardiac pathology (dysphagia), to whom, as part of its diagnostic examination, a magnetic resonance angiography, where an aortic arch oriented to the right with the independent birth of the four neck vessels, is detected. A developed left subclavian artery, which at first seems to be an image of double aortic arch, but really, it represents an origi...

Bleeding of an aberrant right subclavian artery following transthoracic en bloc esophagectomy and intrathoracic gastric reconstruction is a rare but severe complication in esophageal surgery. Preoperative diagnosis can be achieved by computed tomography or magnetic resonance angiography (MRA). Various treatment options are available; thus, the treatment can be challenging and should be adjusted...

Bilateral subclavian steal syndrome is a rare condition. It is usually due to reversal of vertebral blood flow in the setting of bilateral proximal subclavian or left subclavian plus innominate artery severe stenosis or occlusion. This finding may cause cerebral ischemia related to upper extremities exercise. We report a case of bilateral subclavian steal secondary to total occlusion of the inn...

compared with 40 out of I56 patients (25.6%) who had oesophageal atresia with no other malformations. Persistent ductus arteriosus was the commonest lesion, followed by ventricular septal defect, secundum atrial septal defect, right-sided aortic arch, dextrocardia, anomalous right subclavian artery, and defects of the atrioventricular valves. Patients with cardiovascular malformations had a low...

Emerging technology with endovascular techniques has expanded our armamentarium to treat the aberrant right subclavian artery. We describe a hybrid technique using an Amplatzer plug in combination with a carotid subclavian bypass to treat a patient with dysphagia lusoria.

This case report describes a of severe dysphagia lusoria secondary to an aberrant right subclavian artery (ARSA) causing compression the esophagus. Our 62-year-old female patient presented with and underwent carotid-subclavian bypass uncovered thoracic endovascular aortic repair (TEVAR) coil embolization ARSA. is unique in that dissection stent graft was used avoid occluding anatomical left the...