TY - JOUR
T1 - Asymptomatic Giant Aneurysm of the Arteria Lusoria Treated by Debranching and Aneurysmal Resection
AU - Venkatesan, Aadithiyavikram
AU - Gonuguntla, Akhilesh
AU - Vasireddy, Anila
AU - Rai, Guruprasad D.
AU - Kamath, Ganesh Sevagur
AU - Bishnoi, Arvind Kumar
AU - Maramreddy, Revanth
N1 - Publisher Copyright:
Copyright © 2022 The Korean Society for Vascular Surgery
PY - 2022
Y1 - 2022
N2 - The aberrant right subclavian artery (ARSA, arteria lusoria) is the most common intrathoracic vascular anomaly, affecting up to 2% of the population. However, aneurysms of congenital anomalies are extremely unusual and often present with dysphagia, dysphonia, or dyspnea due to compression of the surrounding structures. We report a case of an asymptomatic 57-year-old male with chronic kidney disease who was incidentally found to have a large aneurysm of the ARSA on preoperative computed tomography for laparoscopic nephrectomy. Surgery is unequivocally warranted as these aneurysms are associated with a high risk of complications, including thrombosis, embolism, and rupture. We debranched the ARSA, followed by anastomosis to the right carotid artery through a right neck incision. Subsequently, aneurysmal resection was performed through left thoracotomy. The patient had an uneventful postoperative recovery and was asymptomatic during the follow-up.
AB - The aberrant right subclavian artery (ARSA, arteria lusoria) is the most common intrathoracic vascular anomaly, affecting up to 2% of the population. However, aneurysms of congenital anomalies are extremely unusual and often present with dysphagia, dysphonia, or dyspnea due to compression of the surrounding structures. We report a case of an asymptomatic 57-year-old male with chronic kidney disease who was incidentally found to have a large aneurysm of the ARSA on preoperative computed tomography for laparoscopic nephrectomy. Surgery is unequivocally warranted as these aneurysms are associated with a high risk of complications, including thrombosis, embolism, and rupture. We debranched the ARSA, followed by anastomosis to the right carotid artery through a right neck incision. Subsequently, aneurysmal resection was performed through left thoracotomy. The patient had an uneventful postoperative recovery and was asymptomatic during the follow-up.
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U2 - 10.5758/VSI.210069
DO - 10.5758/VSI.210069
M3 - Article
C2 - 35307697
AN - SCOPUS:85128590821
SN - 2288-7970
VL - 38
SP - 3
JO - Vascular Specialist International
JF - Vascular Specialist International
M1 - 03
ER -