CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2017; 06(01): e15-e17
DOI: 10.1055/s-0037-1603625
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report

Mina Rouman
1   Deparment of Heart Surgery, Zentralklinik Bad Berka, Bad Berka, Germany
Alexander Petrovitch
2   Deparment of Diagnostic and Interventional Radiology, Helios Klinik Blankenhain, Germany
Eva-Maria Gey
1   Deparment of Heart Surgery, Zentralklinik Bad Berka, Bad Berka, Germany
Thomas Kuntze
1   Deparment of Heart Surgery, Zentralklinik Bad Berka, Bad Berka, Germany
› Author Affiliations
Further Information

Publication History

18 December 2016

28 April 2017

Publication Date:
15 June 2017 (online)


Background An aberrant right subclavian artery (RSA) or arteria lusoria is the most common congenital abnormality of the aortic arch with an incidence of 0.3 to 3.0%.

Case Description We report a case of a perforated aneurysmal aberrant RSA, managed using a hybrid approach.

Conclusion In emergency cases with acute bleeding, we recommend an endovascular approach to avoid the lethal sequel of arterial leakage. Whenever possible, the pulsatile blood flow to the right arm should be restored. Management should be tailored to the nature of the aneurysmal aberrant RSA, patient's comorbidities, and concomitant lesions.

  • References

  • 1 Kieffer E, Bahnini A, Koskas F. Aberrant subclavian artery: surgical treatment in thirty-three adult patients. J Vasc Surg 1994; 19 (01) 100-109 , discussion 110–111
  • 2 Janssen M, Baggen MG, Veen HF. , et al. Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy. Am J Gastroenterol 2000; 95 (06) 1411-1416
  • 3 Bayford D. An account of a singular case of obstructed deglutition. Mem Med Soc Lond 1794; 2: 275-286
  • 4 Gross RE. Surgical treatment for dysphagia lusoria. Ann Surg 1946; 124 (03) 532-534
  • 5 Klinkhamer AC. Aberrant right subclavian artery. Clinical and roentgenologic aspects. Am J Roentgenol Radium Ther Nucl Med 1966; 97 (02) 438-446
  • 6 De Bakey ME, Cooley DA, Creech Jr O. Surgical considerations of dissecting aneurysm of the aorta. Ann Surg 1955; 142 (04) 586-610 , discussion, 611–612
  • 7 Kopp R, Wizgall I, Kreuzer E. , et al. Surgical and endovascular treatment of symptomatic aberrant right subclavian artery (arteria lusoria). Vascular 2007; 15 (02) 84-91
  • 8 Geiss D, Williams WG, Lindsay WK, Rowe RD. Upper extremity gangrene: a complication of subclavian artery division. Ann Thorac Surg 1980; 30 (05) 487-489