we report the case of a three-year-old girl who complained from dysphagia and post-prandial vomiting since she was 6months old. several diagnostic work-ups were performed for her problem. upper gi endoscopy was normal but barium swallow revealed an external pressure effect over upper part of the esophagus (figure 1) and the ct angiography of thoracic aorta showed that this external pressure eff...

Dissecting aneurysm is the condition produced by separation of the layers of the arterial wall by circulating blood. Although rare, the coexistence of aortic dissection and aberrant right subclavian artery may be catastrophic. In this study we report the endovascular treatment of a patient with thoracic aorta dissection associated with aberrant right subclavian artery. Aortic clamping proximal ...

The subclavian steal syndrome is a well-recognized clinical and radiographic entity that involves the left subclavian artery far more commonly than the right. Atherosclerotic stenoses are the most common underlying cause [1-3]. Right subclavian stenosis with associated steal is markedly less common. Although an aberrant right subclavian artery is one of the most common anomalies of the great ve...

Figure 1: 3D Angio-computed tomography (CT) scan reconstruction showing type B dissection in the presence of an aberrant right subclavian artery coexisting with a common bicarotid trunk. The common carotid trunk arose as the first branch, followed by the left subclavian artery and the aberrant right subclavian artery. Figure 2: Postoperative 3D angio-CT scan reconstruction. The patient underwen...

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 ...

Fig. 1. CTaxial image (a) evidences the anomalous origin of both carotid arteries from a unique trunk and demonstrates the presence of an aberrant right subclavian artery which passes ahead the thoracic spine inducing extrinsic compression of the esophagus. The origin of the bi-carotid trunk, which arises directly from the aortic arch, is more clearly viewable in the MPR image (b). Fig. 2. Pre-...

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...

Kommerell diverticulums are an uncommon congenital vascular disease involving aberrant origin of the right or left subclavian artery and a dilation its root. Here, we present case 44-year-old woman with relapse surgically repaired diverticulum.