Liu Quanrui
Department of Thoracic Surgery, Nanbu County People's Hospital, Nanchong City, Sichuan, China.
Front Surg. 2025 Mar 12;12:1548041. doi: 10.3389/fsurg.2025.1548041. eCollection 2025.
The aberrant right subclavian artery (ARSA), also known as lusoria artery, is a relatively rare vascular malformation influencing 0.6% to 1.4% of the population, and this figure elevates exponentially to 26%-34% among Down-syndrome individuals. However, few cases are available on esophageal cancer associated with ARSA. Here, we report a 30-year-old male esophageal cancer patient with arteria lusoria, which elevated surgical risks in esophagectomy. We reviewed the key points of anatomy and further complications to understand this vascular anomaly in esophagectomy. This report aims to raise awareness among thoracic surgeons and radiologists about the importance of thorough preoperative assessment and the unique challenges posed by ARSA in esophageal cancer surgery.
迷走右锁骨下动脉（ARSA），又称永存动脉弓，是一种相对罕见的血管畸形，影响着0.6%至1.4%的人群，而在唐氏综合征患者中，这一比例呈指数级上升至26%-34%。然而，与ARSA相关的食管癌病例很少。在此，我们报告一例30岁男性食管癌患者合并永存动脉弓，这增加了食管切除术的手术风险。我们回顾了解剖学要点及进一步的并发症，以了解食管切除术中这种血管异常情况。本报告旨在提高胸外科医生和放射科医生对术前全面评估的重要性以及ARSA在食管癌手术中带来的独特挑战的认识。
