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Treatment of Kommerell's diverticulum in rare aberrant aortic arch anatomy.
Proc (Bayl Univ Med Cent)
July 2024
Department of Vascular Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas, USA.
A Kommerell's diverticulum (KD) is a saccular aneurysmal outpouching at the origin of an aberrant subclavian artery. Due to a lack of data in the literature, there are no standardized guidelines for management of KD, and the diverse presentation of associated aberrant anatomy complicates evaluating the best modality of treatment. We present a 74-year-old woman who had a uniquely aberrant aortic arch with an aberrant retroesophageal right subclavian artery associated with a KD and a saccular aneurysm off the left subclavian artery who was treated via a hybrid approach, demonstrating the feasibility of this treatment modality in a patient with unique aberrant arch anatomy.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates how the development of branches of the subclavian artery is influenced by the anatomy of the proximal artery and surrounding structures, particularly in response to blood flow stress.
- A case of an aberrant right subclavian artery arising from the aorta and unusual branching patterns was reported, revealing types H and CG of the Adachi-Williams classification.
- Findings indicate that while the aberrant artery's development can impact blood flow in the region, normal distal branching suggests that proximal and distal vascular development can operate independently, adapting to anomalies.
Non-recurrent Laryngeal Nerve - A Rare Anatomical Anomaly that Increases the Risk of Nerve Injury during Thyroidectomy.
Indian J Otolaryngol Head Neck Surg
October 2024
Department of Radiology, Neigrihms, India.
Article Synopsis
- The nonrecurrent laryngeal nerve (NRLN) is a rare variation of the recurrent laryngeal nerve with a prevalence of 0.3-0.8% on the right side and only 0.004% on the left.
- A case study of a young woman with a thyroid mass revealed a NRLN during surgery, as imaging indicated vascular anomalies associated with the lesion.
- The authors emphasize the importance of identifying NRLN during thyroid surgery to prevent nerve injury, especially when preoperative imaging suggests vascular irregularities.
Aberrant right subclavian artery stenting and embolisation for button battery-induced recurrent arterio-oesophageal fistula.
Cardiol Young
September 2024
CHU de Lille, Paediatric Cardiology, Lille, Hauts-de-France, France.
A young child, who had a previously unsuspected aberrant right subclavian retro-oesophageal artery, swallowed a button battery complicated with recurrent life-threatening bleeding, and survived after repeated percutaneous treatment as a bridge to surgery.
View Article and Find Full Text PDFIncidental Finding of Arteria Lusoria.
Glob Pediatr Health
August 2024
Pediatric Radiology Department, Rabat Children's Hospital, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
The arteria lusoria or retroesophageal right subclavian artery is the most common malformation of the aortic arch. It may be discovered with some symptoms of airway and/or esophageal compression, such as dyspnea or dysphagia, but in most cases it is an asymptomatic pathology. We report a case of a 3 months old patient diagnosed with Down syndrome who was admitted for pulmonary infection with incidental finding of retrooesophageal right subclavian artery.
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