Three Rare Structural Anomalies: Right Aberrant Subclavian Artery, Kommerell’s Diverticulum, and Isolated Left Vertebral Artery All Associated with Type B Aortic Dissection

Clicks: 330
ID: 9949
2019
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Abstract
Introduction and Background. Right aberrant subclavian artery accounts for 0.5-1.8% of the population as the most frequently encountered aortic arch anomaly, while the prevalence of an isolated left vertebral artery ranges from 3 to 8%. Despite the low prevalence and the asymptomatic presentation of these structural anomalies, the development of cardiovascular complications and aneurysmal formation could happen as in Kommerell’s diverticulum in a complicated right aberrant subclavian artery, which can undergo aneurysmal degeneration and dissection. Depending on the severity and the degree of the symptoms, the management of the patient can be determined. Case Presentation. A 51-year-old male hypertensive Pakistani patient was admitted complaining of chest and back pain; a CT of the aorta was done and showed type B aortic dissection associated with a right aberrant subclavian artery with an isolated left vertebral artery. A thoracic endovascular aneurysmal repair was done, and the patient improved afterward. Conclusion. The prevalence of these structural anomalies, the right aberrant subclavian artery, Kommerell’s diverticulum, and isolated left vertebral artery with type B aortic dissection, is uncommon. Therefore, the earlier the diagnosis, the better the treatment. This is the first case report explaining the occurrence of these vascular anomalies together in Saudi Arabia.
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Authors Elghoneimy, Yasser Farag;Nashy, Medhat Reda;Mahmoud, Ahmed Elsayed;Alruwaili, Asayel Ali;Alotaibi, Assayl Rabea;Elghoneimy, Yasser Farag;Nashy, Medhat Reda;Mahmoud, Ahmed Elsayed;Alruwaili, Asayel Ali;Alotaibi, Assayl Rabea;
Journal case reports in surgery
Year 2019
DOI
10.1155/2019/7927613
URL
https://www.hindawi.com/journals/cris/2019/7927613/abs/
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