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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Referências
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Submetido em:
05/09/2022
Aceito em:
17/12/2022
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