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Surgical approaches to the aberrant right subclavian artery

Yuksel Atay1, Cagatay Engin, Hakan Posacioglu

  • 1Department of Cardiovascular Surgery, Ege University Medical School, Bornova, 35100 Izmir, Turkey. yuksel.atay@ege.edu.tr

Texas Heart Institute Journal
|January 12, 2007
PubMed

Insights

Aberrant right subclavian artery (arteria lusoria) is a rare congenital anomaly. Surgical repair by dividing the aberrant artery and translocating it to the carotid artery offers complete symptom relief without complications.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Surgery
  • Congenital Anomalies

Background:

  • Aberrant right subclavian artery (arteria lusoria) is a rare congenital anomaly.
  • Symptomatic cases necessitate surgical intervention, with optimal operative approach debated.
  • This study details surgical strategies for aberrant right subclavian artery correction.

Observation:

  • Three pediatric and one adult patient with aberrant right subclavian artery underwent surgical correction between 2000 and 2004.
  • A muscle-sparing right thoracotomy was employed for pediatric patients.
  • A supraclavicular approach was utilized for the adult patient.

Findings:

  • All patients were successfully treated by dividing the aberrant right subclavian artery and translocating it to the right common carotid artery.
  • No graft interposition was required, and there was no operative or late morbidity or mortality.
  • Complete symptom relief was achieved in all treated patients.

Implications:

  • The study suggests age-specific surgical approaches for aberrant right subclavian artery are effective.
  • Right thoracotomy in pediatric patients facilitates optimal mobilization and direct anastomosis.
  • The findings support division and translocation as a safe and effective treatment for symptomatic aberrant right subclavian artery.

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