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Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report

RATIONALE: Anatomical variations in aortic arch (AA) branching are not unusual. Generally, these variations are asymptomatic and are diagnosed incidentally. Here, we report a rare case of a middle-aged female patient with an aberrant right subclavian artery (ARSA) associated with anomalous origins o...

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Autores principales: Wu, Yihong, Zhang, Huayi, Tang, Chenye
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7939145/
https://www.ncbi.nlm.nih.gov/pubmed/33655982
http://dx.doi.org/10.1097/MD.0000000000025043
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author Wu, Yihong
Zhang, Huayi
Tang, Chenye
author_facet Wu, Yihong
Zhang, Huayi
Tang, Chenye
author_sort Wu, Yihong
collection PubMed
description RATIONALE: Anatomical variations in aortic arch (AA) branching are not unusual. Generally, these variations are asymptomatic and are diagnosed incidentally. Here, we report a rare case of a middle-aged female patient with an aberrant right subclavian artery (ARSA) associated with anomalous origins of the bilateral vertebral arteries (VAs). PATIENT CONCERNS: The patient treated for urolithiasis complained of repeated dizziness for several years. DIAGNOSES: Echocardiography and computed tomography angiography (CTA) confirmed arterial variations. Moreover, mild stenosis was found in the left common carotid artery (LCCA), which was considered to be the cause of dizziness. INTERVENTIONS: Congenital anomalous arteries were not necessary to intervene urgently, but aspirin and atorvastatin were administered to prevent potential thrombosis attributed to vascular stenosis after completing the operation for urolithiasis. OUTCOMES: Whether the symptoms will be alleviated or not should be continuously followed up, and the patient may accept interventional therapy in the future if necessary. LESSONS: Here, we report the rare variation of AA branches and highlight the importance of preoperative vascular assessment in surgical or interventional procedures for the affected body regions.
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spelling pubmed-79391452021-03-08 Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report Wu, Yihong Zhang, Huayi Tang, Chenye Medicine (Baltimore) 3400 RATIONALE: Anatomical variations in aortic arch (AA) branching are not unusual. Generally, these variations are asymptomatic and are diagnosed incidentally. Here, we report a rare case of a middle-aged female patient with an aberrant right subclavian artery (ARSA) associated with anomalous origins of the bilateral vertebral arteries (VAs). PATIENT CONCERNS: The patient treated for urolithiasis complained of repeated dizziness for several years. DIAGNOSES: Echocardiography and computed tomography angiography (CTA) confirmed arterial variations. Moreover, mild stenosis was found in the left common carotid artery (LCCA), which was considered to be the cause of dizziness. INTERVENTIONS: Congenital anomalous arteries were not necessary to intervene urgently, but aspirin and atorvastatin were administered to prevent potential thrombosis attributed to vascular stenosis after completing the operation for urolithiasis. OUTCOMES: Whether the symptoms will be alleviated or not should be continuously followed up, and the patient may accept interventional therapy in the future if necessary. LESSONS: Here, we report the rare variation of AA branches and highlight the importance of preoperative vascular assessment in surgical or interventional procedures for the affected body regions. Lippincott Williams & Wilkins 2021-03-05 /pmc/articles/PMC7939145/ /pubmed/33655982 http://dx.doi.org/10.1097/MD.0000000000025043 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 3400
Wu, Yihong
Zhang, Huayi
Tang, Chenye
Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report
title Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report
title_full Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report
title_fullStr Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report
title_full_unstemmed Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report
title_short Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report
title_sort coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: a case report
topic 3400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7939145/
https://www.ncbi.nlm.nih.gov/pubmed/33655982
http://dx.doi.org/10.1097/MD.0000000000025043
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