Stanford B Dissection with Right Radial Cardiac Catheterization in a Patient with Arteria Lusoria & Kommeral’s Diverticulum

Yuvraj Chowdhury¹, Shakil A. Shaikh¹, Ali Salman¹, Jonathan D. Marmur¹, Osagie Igiebor¹, Moro O. Salifu¹ and Samy I. McFarlane^1,

¹Department of Internal Medicine, SUNY-Downstate, Health Science University, Brooklyn, New York, United States-11203

Cite this paper

Yuvraj Chowdhury, Shakil A. Shaikh, Ali Salman, Jonathan D. Marmur, Osagie Igiebor, Moro O. Salifu and Samy I. McFarlane. Stanford B Dissection with Right Radial Cardiac Catheterization in a Patient with Arteria Lusoria & Kommeral’s Diverticulum. American Journal of Medical Case Reports. 2020; 8(9):271-273. doi: 10.12691/AJMCR-8-9-4

Abstract

An Aberrant Right Subclavian Artery (ARSA) is a rare congenita; anomaly (0.4-1.8%) of the aorta in which the right subclavian artery arises from the aortic arch distal to the origin of the left subclavian artery often coursing behind the esophagus to reach the right arm. It courses behind the esophagus in about 80% of cases, between the esophagus and the trachea in 15%, and anterior to the trachea or mainstem bronchus in 5%. Patient with this anomaly rarely have symptoms (90-95%) but when symptomatic the ARSA give rise to symptoms of dysphagia lusoria, dyspnea and chronic cough. In a vast majority of patients ARSA is clinically silent till right radial angiography is performed. We are reporting a case of dissection of the retroesophageal right subclavian artery traveling into the descending thoracic aorta (Stanford Type B) during right radial cardiac catherization performed on a patient presenting with non-ST elevation myocardial infarction.

Keywords

arteria lusoria, stanford B dissection, kommeral’s diverticulum, right radial cardiac catheterization

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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