Artéria subclávia direita aberrante: relato de caso e revisão de literatura
Aberrant right subclavian artery: case report and literature review
Michel Nasser; Bruna Beatriz Petrocheli; Thais Keltke Santos Felippe; Beatriz Isola; Beatriz Caroline dos Santos Pereira; Ana Luiza Carvalho Sartoreli; João Marques Batista Junior; Gustavo Muçouçah Sampaio Brandão
Resumo
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Abstract
The aberrant right subclavian artery, also known as the arteria lusoria, is the most common aortic arch anomaly, occurring in 0.5 to 1% of the population. There is a higher prevalence in women and it is usually associated with other anatomical variations, such as the non-recurrent laryngeal nerve, present in 86.7% of cases. In the majority of cases, the aberrant right subclavian artery causes no symptoms. We describe this anomaly in an 82-year-old, hypertensive, and asymptomatic patient who had undergone a thoracoabdominal angiography to investigate a chronic DeBakey type III aortic dissection with dilation of the descending aorta. The aberrant right subclavian artery followed a retroesophageal course and was associated with a Kommerell diverticulum. In view of its rarity, we conducted an integrative bibliographic review of literature from the last 6 years indexed on the Medline, UpToDate, Lilacs, Scielo, and Portal Capes databases and discuss the most frequent anatomical changes, symptomatology, and therapeutic management adopted
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References
1 Myers PO, Fasel JHD, Kalangos A, Gailloud P. Arteria lusoria: developmental anatomy, clinical, radiological and surgical aspects. Ann Cardiol Angeiol. 2010;59(3):147-54.
2 Machado L, Silva AR, Mansilha A, Teixeira J. Estenose sintomática da artéria subclávia direita aberrante. Angiol Cir Vasc. 2016;12(4):275-8.
3 Leite TFO, Pires LAS, Cisne R, Babinski MA, Chagas CAA. Clinical discussion of the arteria lusoria: a case report. J Vasc Bras. 2017;16(4):339-42.
4 Ranzini AC, Hyman F, Jamaer E, Van Mieghem T. Aberrant right subclavian artery: correlation between fetal and neonatal abnormalities and abnormal genetic screening or testing. J Ultrasound Med. 2017;36(4):785-90.
5 Álvarez PF, León JMV, Álvarez AC. Esophageal compression by a mediastinal vascular structure as a result of a dysphagia lusoria. Rev Esp Enferm Dig. 2020;112(6):505. PMid:32379480.
6 Domínguez-Massa C, Berbel-Bonillo A, Pérez-Guillen M, Montero-Argudo JA. Dissected aberrant right subclavian artery with Kommerell diverticulum. Rev Port Cardiol. 2019;38(10):737.e1-4.
7 Pessuti F, Fontes CAP. Divertículo de Kommerell: rara etiologia de disfagia. Rev Fac Ciênc Méd Sorocaba. 2019;21(2):98-9.
8 Robles TA, Srinivasan A, Mazur L, Gourishankar A. Kommerell’s diverticulum with a twist: a case of recurrent wheeze in an 8-year-old boy. Glob Pediatr Health. 2019;6:2333794X19897506.
9 Cinà CS, Arena GO, Bruin G, Clase CM. Kommerell’s diverticulum and aneurysmal right-sided aortic arch: a case report and review of the literature. J Vasc Surg. 2000;32(6):1208-14.
10 Onishi N, Komaki T, Nakamura M, et al. A rare case of submassive pulmonary embolism with a right aberrant subclavian artery and thrombosed kommerell diverticulum. Intern Med. 2020;59(15):1861-5.
11 Kiernan PD, Dearani J, Byrne WD, et al. Aneurysm of an aberrant right subclavian artery: case report and review of the literature. Mayo Clin Proc. 1993;68(5):468-74.
12 Junqueira LC, Carneiro J. Sistema circulatório. In: Zorn TMT, editora. Histologia básica: texto e atlas. 12. ed. Rio de Janeiro: Guanabara Koogan; 2013. p. 200-3.
13 Tortora GJ, Derrickson B. Sistema circulatório/vasos sanguíneos e hemodinâmica. In: Tortora GJ, editor. Princípios de anatomia e fisiologia. 14. ed. Rio de Janeiro: Guanabara Koogan; 2016. p. 1453-73.
14 Sidawy AP, Perler BA. Embryology and developmental anatomy. In: Endean ED, editor. Rutherford's vascular surgery and endovascular therapy. 9. ed. Filadélfia: Elsevier; 2019. p. 214-24.
15 Moore KL, Persaud TVN. Embriologia clínica. 10. ed. Rio de Janeiro: Elsevier; 2016. Sistema cardiovascular. p. 397-405.
16 Stone WM, Brewster DC, Moncure AC, Franklin DP, Cambria RP, Abbott WM. Aberrant right subclavian artery: varied presentations and management options. J Vasc Surg. 1990;11(6):812-7.
17 Rosa P, Gillespie DL, Goff JM, O’Donnell SD, Starnes B. Aberrant right subclavian artery syndrome: a case of chronic cough. J Vasc Surg. 2003;37(6):1318-21.
18 Coşkun E, Altınay L, Tekin A, Tütün U. Aberrant right subclavian artery (arteria lusoria) aneurysm with Kommerell’s diverticulum. J Vasc Bras. 2019;18:e20180091.
19 Hanžič N, Čizmarević U, Lesjak V, Caf P. Aberrant right subclavian artery with a bicarotid trunk: the importance of diagnosing this rare incidental anomaly. Cureus. 2019;11(11):e6094.
20 Molz G, Burri B. Aberrant subclavian artery (arteria lusoria): sex differences in the prevalence of various forms of the malformation. Virchows Arch A Pathol Anat Histol. 1978;380(4):303-15.
21 Polguj M, Chrzanowski Ł, Kasprzak JD, Stefańczyk L, Topol M, Majos A. The aberrant right subclavian artery (arteria lusoria): the morphological and clinical aspects of one of the most important variations--a systematic study of 141 reports. ScientificWorldJournal. 2014;2014:292734.
22 Jain KK, Braze AJ, Shapiro MA, Perez-Tamayo RA. Aberrant right subclavian artery-esophageal fistula and severe gastrointestinal bleeding after surgical correction of scimitar syndrome. Tex Heart Inst J. 2012;39(4):571-4. PMid:22949782.
23 Henry BM, Sanna S, Graves MJ, et al. The non-recurrent laryngeal nerve: a meta-analysis and clinical considerations. PeerJ. 2017;5:e3012.
24 Verzini F, Isernia G, Simonte G, et al. Results of aberrant right subclavian artery aneurysm repair. J Vasc Surg. 2015;62(2):343-50.
25 Xiong S, Wang D, Li J. Endovascular repair of type A aortic intramural hematoma accompanied by aberrant right subclavian artery and Kommerell’s diverticulum: a case report. BMC Cardiovasc Disord. 2020;20(1):220.
26 Araújo G, Bizzi JWJ, Muller J, Cavazzola LT. “Dysphagia lusoria” - right subclavian retroesophageal artery causing intermitent esophageal compression and eventual dysphagia - a case report and literature review. Int J Surg Case Rep. 2015;10:32-4.
27 Drullinsky D, Gill H, Bayne JP, Morin JF, Obrand D. Hybrid management of a ruptured right subclavian artery aneurysm dissection. J Vasc Surg Cases Innov Tech. 2017;3(4):198-200.
28 Suárez-Mantilla S, Rey-Ayala M, Rodríguez-Restrepo L, Lubinus-Badillo FG. Arteria Lusoria, reporte de un caso clínico. MedUNAB. 2018;21(1):122-9.
29 Bohatch MS Jr, Silva AFV, Regueira A Fo, Dantas MH, Beck RT. Aberrant right subclavian artery and lusoria dysphagia. SBC. 2017;30(4):154. Imagem.
30 Powell BL. Vascular ring presenting as dysphagia in an adult woman: a case report. Ann R Coll Surg Engl. 2017;99(1):e3-5.
31 Thoreau B, Bigot A, Diallo BD, Pucheux J, Marchand E, Diot E. Une cause rare d’ischémie digitale. Rev Med Interne. 2017;38(3):218-9.
32 Marenchino RG, Domenech A. Single stage aortic arch replacement without circulatory arrest. Aorta. 2016;4(1):29-31.
33 Faggioni L, Gabelloni M, Napoli V, Iorio F, Chella A, Caramella D. Thrombosis of Kommerell’s diverticulum with subclavian steal phenomenon in a patient with non-small cell lung carcinoma under chemotherapy. Eur J Radiol Open. 2016;3:191-4.
Submitted date:
09/05/2022
Accepted date:
12/17/2022
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