Document Detail


Arteria lusoria aneurysm with truncus bicaroticus: surgical resection without restoring blood supply to the right arm.
MedLine Citation:
PMID:  20978581     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arteria lusoria, an aberrant or anomalous right subclavian artery, is the most common anomaly of the aortic arch. It may be associated with other congenital anomalies of the heart and great vessels-including, rarely, truncus bicaroticus (a common trunk of both common carotid arteries), and, even more rarely, aneurysmal formation.Herein, we report the case of a 72-year-old man who had both an atherosclerotic aneurysm of an aberrant right subclavian artery and truncus bicaroticus. We resected the aneurysm through a posterolateral thoracotomy and did not restore the distal pulsatile blood supply to the right arm. During long-term clinical follow-up, the patient experienced no arm ischemia or cerebrovascular insufficiency.Aneurysm of arteria lusoria should be suspected in the presence of a right superior mediastinal mass on chest radiographs and should be considered as a cause of new-onset dyspnea, chest pain, or dysphagia. Symptomatic right arteria lusoria aneurysm should be removed promptly after diagnosis. Despite disagreement among investigators regarding the need to restore pulsatile blood flow to the right arm, we recommend reconstructing that flow, when possible.
Authors:
Giovanni Saeed; George Ganster; Norbert Friedel
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  37     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-27     Completed Date:  2011-02-11     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  602-7     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Klinikum Bayreuth GmbH, D-95445 Bayreuth, Germany. dr.gsaeed@web.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm / complications,  physiopathology,  radiography,  surgery*
Angiography, Digital Subtraction
Carotid Artery, Common / abnormalities*,  physiopathology,  radiography
Humans
Ligation
Male
Pulsatile Flow
Regional Blood Flow
Subclavian Artery / abnormalities,  physiopathology,  radiography,  surgery*
Thoracotomy
Tomography, X-Ray Computed
Treatment Outcome
Upper Extremity / blood supply*
Vascular Malformations / complications,  physiopathology,  radiography,  surgery*
Vascular Surgical Procedures*
Comments/Corrections

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