Anatomical and clinical aspects of aberrant right subclavian artery
Atrophy of the fourth right aortic arch during embryogenesis can lead to arteria lusoria. This occurs with a frequency of 0.5–2%. This artery originates directly from the aortic arch as a fourth branch or from the proximal part of the descending aorta. Then it follows an upward and rightward directi...
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Termedia Publishing House
2023-09-01
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Series: | Studia Medyczne |
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Online Access: | https://www.termedia.pl/Anatomical-and-clinical-aspects-of-aberrant-right-subclavian-artery,67,51546,1,1.html |
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author | Tomasz Lepich Radosław Karaś Kamil Kania Grzegorz Bajor |
author_facet | Tomasz Lepich Radosław Karaś Kamil Kania Grzegorz Bajor |
author_sort | Tomasz Lepich |
collection | DOAJ |
description | Atrophy of the fourth right aortic arch during embryogenesis can lead to arteria lusoria. This occurs with a frequency of 0.5–2%. This artery originates directly from the aortic arch as a fourth branch or from the proximal part of the descending aorta. Then it follows an upward and rightward direction crossing the trachea and esophagus in its course. This abnormal artery is accompanied in 20–60% of cases by dilatation of its proximal part, called Kommerell’s diverticulum. A correlation has been noted between the presence of arteria lusoria and chromosomal aberrations, mainly Down syndrome. Arteria lusoria in fetuses is diagnosed using ultrasound, and in adults, the gold diagnostic standard is computed tomography or magnetic resonance angiography. Consequences of arteria lusoria may include dysphagia (dysphagia lusoria), chronic cough, arterio-oesophageal fistula, retrosternal pain, respiratory problems, and numbness of the right upper limb. Respiratory disorders accompanying arteria lusoria occur mainly in children because their trachea is less rigid than in adults and more prone to deformation. Arteria lusoria is a clinically significant marker of fetal congenital malformations. It also may be a cause of non-specific symptoms in children and adults that should be considered during differential diagnosis. |
first_indexed | 2024-03-09T14:34:46Z |
format | Article |
id | doaj.art-8a645e6dc3fc450093768a6cae78caeb |
institution | Directory Open Access Journal |
issn | 1899-1874 2300-6722 |
language | English |
last_indexed | 2024-03-09T14:34:46Z |
publishDate | 2023-09-01 |
publisher | Termedia Publishing House |
record_format | Article |
series | Studia Medyczne |
spelling | doaj.art-8a645e6dc3fc450093768a6cae78caeb2023-11-27T12:47:16ZengTermedia Publishing HouseStudia Medyczne1899-18742300-67222023-09-0139328118610.5114/ms.2023.13169151546Anatomical and clinical aspects of aberrant right subclavian arteryTomasz LepichRadosław KaraśKamil KaniaGrzegorz BajorAtrophy of the fourth right aortic arch during embryogenesis can lead to arteria lusoria. This occurs with a frequency of 0.5–2%. This artery originates directly from the aortic arch as a fourth branch or from the proximal part of the descending aorta. Then it follows an upward and rightward direction crossing the trachea and esophagus in its course. This abnormal artery is accompanied in 20–60% of cases by dilatation of its proximal part, called Kommerell’s diverticulum. A correlation has been noted between the presence of arteria lusoria and chromosomal aberrations, mainly Down syndrome. Arteria lusoria in fetuses is diagnosed using ultrasound, and in adults, the gold diagnostic standard is computed tomography or magnetic resonance angiography. Consequences of arteria lusoria may include dysphagia (dysphagia lusoria), chronic cough, arterio-oesophageal fistula, retrosternal pain, respiratory problems, and numbness of the right upper limb. Respiratory disorders accompanying arteria lusoria occur mainly in children because their trachea is less rigid than in adults and more prone to deformation. Arteria lusoria is a clinically significant marker of fetal congenital malformations. It also may be a cause of non-specific symptoms in children and adults that should be considered during differential diagnosis.https://www.termedia.pl/Anatomical-and-clinical-aspects-of-aberrant-right-subclavian-artery,67,51546,1,1.htmlarteria lusoria kommerell’s diverticulum fetal malformations dysphagia lusoria. |
spellingShingle | Tomasz Lepich Radosław Karaś Kamil Kania Grzegorz Bajor Anatomical and clinical aspects of aberrant right subclavian artery Studia Medyczne arteria lusoria kommerell’s diverticulum fetal malformations dysphagia lusoria. |
title | Anatomical and clinical aspects of aberrant right subclavian artery |
title_full | Anatomical and clinical aspects of aberrant right subclavian artery |
title_fullStr | Anatomical and clinical aspects of aberrant right subclavian artery |
title_full_unstemmed | Anatomical and clinical aspects of aberrant right subclavian artery |
title_short | Anatomical and clinical aspects of aberrant right subclavian artery |
title_sort | anatomical and clinical aspects of aberrant right subclavian artery |
topic | arteria lusoria kommerell’s diverticulum fetal malformations dysphagia lusoria. |
url | https://www.termedia.pl/Anatomical-and-clinical-aspects-of-aberrant-right-subclavian-artery,67,51546,1,1.html |
work_keys_str_mv | AT tomaszlepich anatomicalandclinicalaspectsofaberrantrightsubclavianartery AT radosławkaras anatomicalandclinicalaspectsofaberrantrightsubclavianartery AT kamilkania anatomicalandclinicalaspectsofaberrantrightsubclavianartery AT grzegorzbajor anatomicalandclinicalaspectsofaberrantrightsubclavianartery |