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Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic aberrant left subclavian artery.

TitleCongenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic aberrant left subclavian artery.
Publication TypeJournal Article
Year of Publication2014
AuthorsMamopoulos, A. T., & Luther B.
JournalJ Vasc Surg
Volume60
Issue3
Pagination776-9
Date Published2014 Sep
ISSN1097-6809
KeywordsAneurysm, 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.

DOI10.1016/j.jvs.2013.06.086
Alternate JournalJ. Vasc. Surg.
PubMed ID23958067

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