Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic aberrant left subclavian artery.
Title | Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic aberrant left subclavian artery. |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Mamopoulos, A. T., & Luther B. |
Journal | J Vasc Surg |
Volume | 60 |
Issue | 3 |
Pagination | 776-9 |
Date Published | 2014 Sep |
ISSN | 1097-6809 |
Keywords | Aneurysm, Aorta, Thoracic, Aortography, Cardiovascular Abnormalities, Cerebral Angiography, Cerebral Infarction, Deglutition Disorders, Humans, Magnetic Resonance Angiography, Male, Middle Aged, Subclavian Artery, Subclavian Steal Syndrome, Tomography, X-Ray Computed, Treatment Outcome |
Abstract | A right-sided aortic arch is a rare anomaly with an incidence of 0.1% worldwide and is usually associated with a mirror image of all supra-aortic branches or an aberrant left subclavian artery. The latter is often associated with a Kommerell diverticulum, although it can rarely be hypoplastic or atretic and lead to congenital subclavian steal. In most patients, the situation is well-tolerated. In this report, we present a case of subclavian steal syndrome with multiple cerebellar infarcts in a patient with an atypical right-sided aortic arch and an atretic aberrant left subclavian artery arising from a left-sided descending thoracic aorta. |
DOI | 10.1016/j.jvs.2013.06.086 |
Alternate Journal | J. Vasc. Surg. |
PubMed ID | 23958067 |