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Aberrant right subclavian artery--three case reports
Masanori Tsutsumi1, Yasushi Ueno, Kiyoshi Kazekawa
1Department of Neurosurgery, Fukuoka University Chikushi Hospital, Japan. tsutsumi@fukuoka-u.ac.jp
Insights
Aberrant right subclavian artery is an anatomical variation found incidentally during angiography. Though asymptomatic in these cases, recognizing this anomaly is crucial for neurovascular procedures.
Area of Science:
- Vascular anatomy
- Neurointerventional radiology
Background:
- Aberrant right subclavian artery (ARSA) is a congenital anomaly.
- Its clinical significance in neurovascular disease is not well-defined.
Observation:
- Three patients with ARSA were identified via conventional angiography.
- ARSA was incidentally detected in patients presenting with cerebrovascular events.
Findings:
- ARSA was asymptomatic in all three patients.
- Associated conditions included cerebral infarction, intracranial atherosclerosis, and subarachnoid hemorrhage.
Implications:
- Awareness of ARSA is vital for accurate interpretation of diagnostic neuroangiography.
- Knowledge of this variation aids in planning and executing interventional neuroradiology procedures safely.
Abstract:
Conventional angiography detected three cases of aberrant right subclavian artery. A 51-year-old female presented with a small infarction in the left medulla oblongata and severe stenosis of the left subclavian artery. A 59-year-old female presented with multiple cerebral infarctions and severe atherosclerotic changes in the intracranial arteries. A 58-year-old female presented with aneurysmal subarachnoid hemorrhage. The aberrant right subclavian artery was asymptomatic in all patients. Knowledge of this anatomical variation is important in diagnostic neuroangiography and interventional neuroradiology.
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