Aberrant right subclavian artery

Case contributed by Doaa Faris Jabaz
Diagnosis certain

Presentation

Incidental finding.

Patient Data

Age: 10 years
Gender: Female

The right subclavian artery arises on its own as the fourth branch of the aortic arch, distal to the left subclavian artery, it then hooks back to reach the right-side posterior to the esophagus (aberrant right subclavian artery), no aneurysmal dilatation of its proximal portion (no diverticulum of Kommerell), no segmental stenosis in its retro-esophageal course. 

Case Discussion

Aberrant right subclavian artery is among the commonest aortic arch anomalies. It is often asymptomatic (like in this case), but ~10% of people may complain of tracheoesophageal symptoms.

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