关键词: aortic arch anomalies isolated left subclavian artery right aortic arch subclavian steal syndrome tracheal compression

来  源:   DOI:10.7759/cureus.59961   PDF(Pubmed)

Abstract:
A right-sided aortic arch with an isolated left subclavian artery represents a rare anatomical variant, posing diagnostic challenges and clinical complexities. Here, we present a case of a 14-year-old male presenting with respiratory symptoms, unveiling a right-sided aortic arch with an isolated left subclavian artery. Through detailed clinical evaluation, radiographic imaging, and diagnostic modalities including chest radiography, computed tomography angiography, ultrasound, and time-of-flight magnetic resonance angiography, the anatomical features and associated complications were delineated. The discussion encompasses embryological underpinnings, clinical manifestations, and therapeutic considerations, shedding light on the rarity and clinical implications of this anomaly.
摘要:
带有孤立的左锁骨下动脉的右侧主动脉弓代表了一种罕见的解剖变体,带来诊断挑战和临床复杂性。这里,我们介绍一例14岁男性出现呼吸道症状,展示了一条孤立的左锁骨下动脉的右侧主动脉弓。通过详细的临床评估,射线成像,和诊断方式,包括胸部X线摄影,计算机断层扫描血管造影,超声,和飞行时间磁共振血管造影术,我们描绘了解剖学特征和相关并发症.讨论包括胚胎学基础,临床表现,和治疗方面的考虑,阐明这种异常的稀有性和临床意义。
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