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Aberrant right subclavian artery: a case of vertebrobasilar insufficiency

Aberrant right subclavian artery (ARSA) is a rare congenital malformation, wherein the aorta gives rise to the right subclavian artery as a branch off the aortic arch distal to the takeoff of the left subclavian artery. We presented a case of a patient with ARSA that manifested vertebrobasilar sympt...

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Detalles Bibliográficos
Autores principales: Kimyaghalam, A, Gabay, A, Singh, K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125837/
https://www.ncbi.nlm.nih.gov/pubmed/37114086
http://dx.doi.org/10.1093/jscr/rjad199
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author Kimyaghalam, A
Gabay, A
Singh, K
author_facet Kimyaghalam, A
Gabay, A
Singh, K
author_sort Kimyaghalam, A
collection PubMed
description Aberrant right subclavian artery (ARSA) is a rare congenital malformation, wherein the aorta gives rise to the right subclavian artery as a branch off the aortic arch distal to the takeoff of the left subclavian artery. We presented a case of a patient with ARSA that manifested vertebrobasilar symptoms. PubMed search was preformed using keywords ‘aberrant right subclavian artery’, ‘right subclavian steal’ and ‘vertebrobasilar’, which generated nine articles. We found only seven case reports through a PubMed search that discuss ARSA in association with Subclavian steal syndrome. Approximately 71% (n = 5) of the patients in our literature review manifested with signs and symptoms of vertebrobasilar insufficiency. Given the complex anatomy in this condition, treatment should be aimed at symptom resolution. Carotid-subclavian bypass ultimately resolved the symptoms in our patient. Management in symptomatic patient is surgical. In addition to open technique, endovascular interventions can be an option.
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spelling pubmed-101258372023-04-26 Aberrant right subclavian artery: a case of vertebrobasilar insufficiency Kimyaghalam, A Gabay, A Singh, K J Surg Case Rep Case Report Aberrant right subclavian artery (ARSA) is a rare congenital malformation, wherein the aorta gives rise to the right subclavian artery as a branch off the aortic arch distal to the takeoff of the left subclavian artery. We presented a case of a patient with ARSA that manifested vertebrobasilar symptoms. PubMed search was preformed using keywords ‘aberrant right subclavian artery’, ‘right subclavian steal’ and ‘vertebrobasilar’, which generated nine articles. We found only seven case reports through a PubMed search that discuss ARSA in association with Subclavian steal syndrome. Approximately 71% (n = 5) of the patients in our literature review manifested with signs and symptoms of vertebrobasilar insufficiency. Given the complex anatomy in this condition, treatment should be aimed at symptom resolution. Carotid-subclavian bypass ultimately resolved the symptoms in our patient. Management in symptomatic patient is surgical. In addition to open technique, endovascular interventions can be an option. Oxford University Press 2023-04-22 /pmc/articles/PMC10125837/ /pubmed/37114086 http://dx.doi.org/10.1093/jscr/rjad199 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kimyaghalam, A
Gabay, A
Singh, K
Aberrant right subclavian artery: a case of vertebrobasilar insufficiency
title Aberrant right subclavian artery: a case of vertebrobasilar insufficiency
title_full Aberrant right subclavian artery: a case of vertebrobasilar insufficiency
title_fullStr Aberrant right subclavian artery: a case of vertebrobasilar insufficiency
title_full_unstemmed Aberrant right subclavian artery: a case of vertebrobasilar insufficiency
title_short Aberrant right subclavian artery: a case of vertebrobasilar insufficiency
title_sort aberrant right subclavian artery: a case of vertebrobasilar insufficiency
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125837/
https://www.ncbi.nlm.nih.gov/pubmed/37114086
http://dx.doi.org/10.1093/jscr/rjad199
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