Aberrant right subclavian artery ("arteria lusoria") without the known associated nerve anomaly: an "anomaly of the anomaly"? A clinical case and review of the literature.

• 影响指数: 1.354
• 发表时间: Sep 2017
• 来源期刊: Surg Radiol Anat
• DOI: 10.1007/s00276-017-1831-1
• PMID: 28321495
• 文章类型: Case Reports
• 中科院分区: Q4
• 方向: 医学
• 作者列表: Pelizzo MR,Boschin IM,Chondrogiannis S,Giammarile F,Colletti PM,Rubello D

关键词: Aberrant surgical anatomy; Clinical case; Neck surgery; Right subclavian artery

Mesh: Adult; Aneurysm / diagnostic imaging; Cardiovascular Abnormalities / diagnostic imaging; Diagnosis, Differential; Humans; Male; Neck Dissection; Recurrent Laryngeal Nerve / abnormalities; Subclavian Artery / abnormalities diagnostic imaging; Thyroid Neoplasms / surgery; Thyroidectomy; Tomography, X-Ray Computed

Abstract

The \"non-recurrent\" course of the inferior laryngeal nerve (ILN) is an anatomical variant which must be borne in mind during thyroid surgery. The \"non-recurrent\" course of the ILN on the right side is associated with the aberrant right subclavian artery (arteria lusoria), and, on the left, is described in situs viscerum inversus. We present a case in which the \"arteria lusoria\" was not associated with the non-recurrent right ILN. The aims of this paper are to report this \"anomaly of the anomaly\" to surgeons who may be unaware of it on the one hand and on the other to emphasize that this is the only case so far reported in the literature. Moreover we proposed to explain embryologically these unexpected findings.