Nasser Michel, Petrocheli Bruna Beatriz, Felippe Thais Keltke Santos, Isola Beatriz, Dos Santos Pereira Beatriz Caroline, Sartoreli Ana Luiza Carvalho, Batista João Marques, Brandão Gustavo Muçouçah Sampaio
Universidade Federal de São Carlos - UFSCar, Departamento de Medicina, São Carlos, SP, Brasil.
J Vasc Bras. 2023 Feb 20;22:e20210151. doi: 10.1590/1677-5449.202101512. eCollection 2023.
The aberrant right subclavian artery, also known as the arteria lusoria, is the most common aortic arch anomaly, occurring in 0.5 to 1% of the population. There is a higher prevalence in women and it is usually associated with other anatomical variations, such as the non-recurrent laryngeal nerve, present in 86.7% of cases. In the majority of cases, the aberrant right subclavian artery causes no symptoms. We describe this anomaly in an 82-year-old, hypertensive, and asymptomatic patient who had undergone a thoracoabdominal angiography to investigate a chronic DeBakey type III aortic dissection with dilation of the descending aorta. The aberrant right subclavian artery followed a retroesophageal course and was associated with a Kommerell diverticulum. In view of its rarity, we conducted an integrative bibliographic review of literature from the last 6 years indexed on the Medline, UpToDate, Lilacs, Scielo, and Portal Capes databases and discuss the most frequent anatomical changes, symptomatology, and therapeutic management adopted.
迷走右锁骨下动脉，也称为“lusoria动脉”，是最常见的主动脉弓异常，在人群中的发生率为0.5%至1%。女性患病率更高，且通常与其他解剖变异相关，如非返喉神经，在86.7%的病例中存在。在大多数情况下，迷走右锁骨下动脉不引起症状。我们描述了一名82岁、患有高血压且无症状的患者的这种异常情况，该患者接受了胸腹血管造影，以调查慢性德巴基III型主动脉夹层伴降主动脉扩张。迷走右锁骨下动脉走行于食管后方，并与Kommerell憩室相关。鉴于其罕见性，我们对过去6年在Medline、UpToDate、Lilacs、Scielo和Portal Capes数据库中索引的文献进行了综合文献综述，并讨论了最常见的解剖学变化、症状和采用的治疗管理方法。
