We present an unusual case of coronary-subclavian steal syndrome, in the context of chronic total occlusion of native left and right coronary arteries that threatened global myocardial blood flow. The patient was a 55-year-old woman, a smoker, who presented with hypertension, obesity, and dyslipidemia. She was attended at the hospital because of progressive angina and anteroinferior ischemia, d...

The right-sided aorta associated with an aberrant left subclavian artery is a rare anomaly of the aortic branches in the upper mediastinum. We present a 62-year-old patient suffering from an acute dissection of the ascending aorta associated with hemopericardium. In this case, there was also aneurysmal dilatation of the origin of the left subclavian artery, known as diverticulum of Kommerell.

Right-sided aortic arches are rare, affecting approximately 0.1% of the population. They are a result of abnormal development of the primitive aortic arches and may present later in life with later life with aneurysmal expansion of the aberrant left subclavian artery 'Kommerell's diverticulum'. These can be challenging to treat effectively. We report a rare case presenting with mild dysphagia a...

Figure 1: CT images. (A) Preoperative three-dimensional CT image. Dextrocardia was observed preoperatively. The branches of the aortic arch were mirror-image reversed. (B) Postoperative three-dimensional CT image. Reconstructed aorta and branches were also mirror-image reversed. RV: right ventricle; Ao: aorta; BCA: brachiocephalic artery; Rt.SCA: right subclavian artery; Rt.CCA: right common ca...

Background: There have been reports on stent-related vascular erosions about patients with benign or malignant stenosis of the esophagus who received endoscopic stent insertion for palliative intention for oral intake. Case presentation: A 61-year-old woman with esophageal cancer located in the middle part of esophagus was treated with esophagectomy. Two years following the surgery, malignan...

Takayasu arteritis (also known as pulseless disease, aortoarteritis, and aortic arch syndrome) is a chronic, inflammatory and occlusive vasculitis of the aorta and its primary branches as well as the pulmonary arteries. It predominantly affects young females, particularly from India and South East Asia.Subclavian steal syndrome secondary to takayasu arteritis occurs when there is severe stenosi...

Purpose To present a rare case of a patient with a 12-cm posttraumatic right subclavian artery aneurysm successfully treated with aneurysmectomy and innominate-axillary bypass. Case report A 54-year-old man presented to the emergency department due to progressive dyspnea and hoarseness of voice. His medical record was unremarkable except that he had right-sided pneumothorax and multiple rib f...

Serious complications of central venous access occur in 0.4–9.9% of patients undergoing attempted central venepuncture [1]. Potential complications include failure to locate or cannulate the vein, puncture of the subclavian artery, misplacement of the catheter, pneumothorax, mediastinal haematoma, haemothorax and injury to adjacent nerves [2]. Pseudoaneurysm formaFig. 1. Bleeding bullous lesion...

A 14-month-old girl was evaluated for noisy breathing and swallowing. An upper gastrointestinal barium swallow study showed a filling defect of the esophagus at the level of the aortic arch suggestive of a vascular ring (Figures 1 and 2). A chest computed tomography angiogram with 3-dimensional reconstruction (1-mm sections; Movies I and II in the onlineonly Data Supplement) showed a vascular r...

Aberrant right subclavian artery, the most common anatomic variant of aortic arch, occurs in 0.5% population. Symptoms generally result from compression esophagus and/or trachea as aberrant vessel passes posteriorly mediastinum. Treatment includes revascularizing artery carotid using a cervical approach combined with occluding origin thoracic aorta. We describe hybrid treatment for symptomatic ...