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Arteria lusoria - a rare cause of dysphagia or a common accidental finding?

Martin Jozef Péč, Monika Kučeríková, c , Kristína Grilusová, Veronika Slobodníková, Alena Strýčková, Monika Beliančinová, Juraj Sokol, Matej Samoš, Peter Galajda, Kamil Zeleňák, Marián Mokáň

. 2021 ; 63 (5) : 612-614. [pub] 20211020

Language English Country Czech Republic

Document type Case Reports, Research Support, Non-U.S. Gov't

Najdôležitejšou abnormalitou aortálneho oblúka je bez diskusie prítomnosť artérie lusorie, aberantnej pravej artérie subclaviae. Práve prítomnosť tejto anatomickej štruktúry je často spätá s príznakmi spôsobenými útlakom jej okolia. Táto anomália sa zriedkavo spája aj s prítomnosťou aneuryzmy v mieste jej odstupu z aortálneho oblúka - Kommerellovho divertikulu, ktorý nesie riziko ruptúry alebo disekcie. Prezentujeme vzácny prípad 84-ročnej pacientky s asymptomatickou aneuryzmou artérie lusorie, ktorá bolo diagnostikovaná náhodou počas hospitalizácie s následným endovaskulárnym ošetrením.

The most important abnormality of the aortic arch is, without question, the presence of the arteria lusoria, the aberrant right subclavian artery (ARSA). The presence of this anatomical structure is often connected with symptoms caused by oppression in its surroundings. This anomaly is rarely associated with the presence of an aneurysm at the point of separation from the aortic arch - Kommerell's diverticulum, which carries the risk of rupture or dissection. We present a rare case of an 84-year-old patient with asymptomatic arteria lusoria aneurysm which was diagnosed by chance during hospitalization with subsequent endovascular treatment. Arteria lusoria and Kommerell's diverticulum were successfully endovascularly treated, resulting in good recovery.

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$a Najdôležitejšou abnormalitou aortálneho oblúka je bez diskusie prítomnosť artérie lusorie, aberantnej pravej artérie subclaviae. Práve prítomnosť tejto anatomickej štruktúry je často spätá s príznakmi spôsobenými útlakom jej okolia. Táto anomália sa zriedkavo spája aj s prítomnosťou aneuryzmy v mieste jej odstupu z aortálneho oblúka - Kommerellovho divertikulu, ktorý nesie riziko ruptúry alebo disekcie. Prezentujeme vzácny prípad 84-ročnej pacientky s asymptomatickou aneuryzmou artérie lusorie, ktorá bolo diagnostikovaná náhodou počas hospitalizácie s následným endovaskulárnym ošetrením.
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$a The most important abnormality of the aortic arch is, without question, the presence of the arteria lusoria, the aberrant right subclavian artery (ARSA). The presence of this anatomical structure is often connected with symptoms caused by oppression in its surroundings. This anomaly is rarely associated with the presence of an aneurysm at the point of separation from the aortic arch - Kommerell's diverticulum, which carries the risk of rupture or dissection. We present a rare case of an 84-year-old patient with asymptomatic arteria lusoria aneurysm which was diagnosed by chance during hospitalization with subsequent endovascular treatment. Arteria lusoria and Kommerell's diverticulum were successfully endovascularly treated, resulting in good recovery.
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