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Right-sided aortic arch with anomalous origin of the left subclavian artery: Case report
- 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.
- Subjects :
- right-sided aortic arch
supraaortic branches
subclavian artery
Medicine
Subjects
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