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...

Full description

Bibliographic Details
Main Authors: Tomasz Lepich, Radosław Karaś, Kamil Kania, Grzegorz Bajor
Format: Article
Language:English
Published: Termedia Publishing House 2023-09-01
Series:Studia Medyczne
Subjects:
Online Access:https://www.termedia.pl/Anatomical-and-clinical-aspects-of-aberrant-right-subclavian-artery,67,51546,1,1.html
_version_ 1797450106671202304
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