What is Arteria Lusoria?
What is Arteria Lusoria?
Arteria Lusoria or aberrant right subclavian artery (ARSA) is the most common congenital arch anomaly in which the right subclavian artery originates from the descending aorta, distal to the left subclavian at the ductus arteriosus [1.
What causes dysphagia Lusoria?
Dysphagia lusoria is caused by compression of the arteria lusoria, an aberrant right subclavian artery. It is usually asymptomatic but can become symptomatic in the case of a compression of the esophagus or the trachea, in the presence of an aberrant subclavian artery aneurysm and with advanced age.
How common is dysphagia Lusoria?
Dysphagia lusoria, commonly named Bayford-Autenrieth dysphagia, is a rare clinical entity with an estimated prevalence of approximately 0.5% first described by David Bayford in 1790.
How do you treat dysphagia Lusoria?
Various open and endovascular techniques have been used to treat aberrant LSA in right aortic arch. Endovascular treatment in the presence of esophageal or tracheal compression is not optimal because symptoms may persist after stent exclusion. 6 Open surgical repair is the preferred solution.
What is ARSA in pregnancy?
Aberrant right subclavian artery (ARSA) is the most common congenital abnormality of the aortic arch [1-6]. In ARSA, the right aortic arch regresses between the right common carotid and right subclavian arteries, instead of being distal to them.
How serious is aberrant right subclavian artery?
Any unintentional injury of this artery during surgical procedures could be extremely life threatening. A 56-year-old woman presented with dysphagia, with concurrent aberrant subclavian artery and esophageal cancer.
What is aberrant right subclavian artery?
Aberrant right subclavian artery (ARSA) is a rare anomaly, in which the right subclavian artery arises directly from the aortic arch instead of originating from the brachiocephalic artery. This anomaly should be taken into consideration during surgical procedures around esophagus, such as esophagectomy.
Can you live with ARSA?
Abstract. An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis.
Is ARSA hereditary?
There seems to be a genetic component in ARSA. Genetic counseling can help to determine your individual risk of recurrence, which depends on whether a cause for the ARSA was found in the first place as well as your age and other factors.
Is ARSA life threatening?
ARSA-esophageal fistula is an uncommon and potentially fatal cause of GI bleeding.