Dysphagia has several typical causes. In this case report a young adult with difficulties in swallowing since childhood is diagnosed with a rare anatomical variation of the aortal branches.
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Single-stage surgical repair of a pre-coarctation aortic arch aneurysm and arteria lusoria.
Interdiscip Cardiovasc Thorac Surg
December 2024
Cardiovascular Surgery Department, Alain Sisteron Institute, Infirmerie Protestante de Lyon, Caluire-et-Cuire, France.
Managing an adult patient with aortic coarctation and associated anomalies presents a significant surgical challenge. We present a case of an adult male with aortic coarctation, pre-coarctation distal arch 7-cm aneurysm involving the origin of the left subclavian artery, and aberrant (lusoria) right subclavian artery. He was managed with one surgical approach, consisting of right carotid-subclavian bypass, exclusion of the right subclavian artery, proximal descending aortic replacement and reinsertion of left subclavian artery, using partial cardiopulmonary bypass.
View Article and Find Full Text PDFHybrid management of aberrant subclavian artery: A systematic review and meta-analysis.
Vascular
November 2024
Mid & South Essex Hospital Services NHS Foundation Trust, Cardiovascular Department, Basildon and Thurrock University Hospital, Basildon, UK.
Objective: To elucidate the short- and long-term mortality, morbidity, and endoleak incidences in the hybrid management of aberrant subclavian artery (ASA).
Methods: A systematic review and meta-analysis of 99 articles comprising = 272 cases using PRISMA were supplemented by Cohen's Kappa for assessor consistency. The analysis involved a random-effect model, odds ratios (ORs) with 95% confidence intervals, tests of heterogeneity, and probability.
Rescue primary percutaneous coronary intervention and left main bifurcation stenting via the arteria lusoria.
Coron Artery Dis
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1st Cardiology Department.
[Multidisciplinary management of esophageal affections: Two challenging cases].
Medicina (B Aires)
October 2024
Unidad Esófago, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina. E-mail:
Esophageal pathologies can exhibit extremely low incidence and prevalence rates. Therefore, it is essential to have multidisciplinary teams including surgeons specialized in esophageal pathology, with a high caseload, to ensure proper diagnosis and management. This manuscript presents a series of esophageal pathology cases with favorable outcomes and atypical resolution for non-specialized groups.
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.
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