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Right-sided aortic arch with anomalous origin of the left subclavian artery: Case report

Authors :
Vučurević Goran
Tanasković Slobodan
Ilijevski Nenad
Kovačević Vladimir
Kecmanović Vladimir
Radak Đorđe
Source :
Srpski Arhiv za Celokupno Lekarstvo, Vol 139, Iss 9-10, Pp 666-668 (2011)
Publication Year :
2011
Publisher :
Serbian Medical Society, 2011.

Abstract

Introduction. A right-sided aortic arch is a rare congenital defect of the aorta with incidence of 0.05% to 0.1% reported in published series. Usually it is associated with congenital heart anomalies and esophageal and tracheal compression symptoms. We present a case of a right-sided aortic arch of anomalous left subclavian artery origin, accidentally revealed during multislice CT (MSCT) supraaortic branches angiography. Case Outline. A 53-year-old female patient was examined at the Outpatients’ Unit of the Vascular Surgery University Clinic for vertigo, occasional dizziness and difficulty with swallowing. Physical examination revealed a murmur of the left supraclavicular space, with 15 mmHg lower rate of arterial tension on the left arm. Ultrasound of carotid arteries revealed 60% stenosis of the left subclavian artery and bilateral internal carotid artery elongation. MSCT angiography revealed a right-sided aortic arch with aberrant separation of the left subclavian artery that was narrowed 50%, while internal carotid arteries were marginally elongated. There was no need for surgical treatment or percutaneous interventions, so that conservative treatment was indicated. Conclusion. A right-sided aortic arch is a very rare anomaly of the location and branching of the aorta. Multislice CT angiography is of great importance in the diagnostics of this rare disease.

Details

Language :
English, Serbian
ISSN :
03708179
Volume :
139
Issue :
9-10
Database :
Directory of Open Access Journals
Journal :
Srpski Arhiv za Celokupno Lekarstvo
Publication Type :
Academic Journal
Accession number :
edsdoj.03ea920f3a254257a36652e7082efc3d
Document Type :
article
Full Text :
https://doi.org/10.2298/SARH1110666V