Aberrant right subclavian artery

Case contributed by Dr Bruno Di Muzio

Presentation

CTA requested for evaluation of carotid stenosis diagnosed on previous Doppler study.

Patient Data

Age: 81 years
Gender: Female
CT

CTA Neck

Right subclavian artery on this case is the fourth and last aortic arch's branch and hooks back to reach the right side passing posterior to the oesophagus. 

Case Discussion

Instead of being the first branch (with the right common carotid as the brachiocephalic artery), aberrant right subclavian artery (ARSA) arises on its own as the fourth branch, after the left subclavian artery. It then hooks back to reach the right side. Its relationship to the oesophagus is variable:

  • 80 % posterior to oesophagus
  • 15 % between oesophagus and trachea
  • 5 % anterior to the trachea
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Case information

rID: 19283
Case created: 23rd Aug 2012
Last edited: 3rd Sep 2015
Systems: Chest, Vascular
Inclusion in quiz mode: Included

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