Skip to main content
Top
Gepubliceerd in: Netherlands Heart Journal 11/2018

Open Access 22-10-2018 | Image Puzzle – Answer

A freaky artery

Auteurs: R. Joustra, A. P. J. van Dijk, H. W. J. Meijburg, M. Boulaksil

Gepubliceerd in: Netherlands Heart Journal | Uitgave 11/2018

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
insite
ZOEKEN
Extras
3D volume rendering of computed tomography angiography scan performed on admission (see also Fig. 1)
Opmerkingen

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s12471-018-1189-y) contains supplementary material, which is available to authorized users.

Answer

The computed tomography angiography (CTA) scan (Fig. 1) demonstrated an intramural haematoma (Fig. 1a, b, asterisk) running from an anomalously originating right subclavian artery (Fig. 1a, b, arrow) continuing to the left aortic arch and descending aorta. The aberrant right subclavian artery, also called lusorian artery or arteria lusoria, originated at the aortic isthmus beyond the left subclavian artery and passed between the oesophagus and the vertebral column (Fig. 1a, arrow). A 3D volume rendering of the CTA scan is presented as supplementary material.
First described by Hunauld in 1735 [1] and later on associated with dysphagia by Bayford in 1794 [2], the lusorian artery or aberrant right subclavian artery is the most common congenital anomaly of the aortic arch and its thoracic branches with an incidence of 0.4–2% [3], and is considered to be a remnant of the distal portion of the embryonic right aortic arch. When the origin of the lusorian artery is distended, this is called a Kommerell diverticulum [4].
Our patient was regarded having a Stanford type B-like aortic dissection and was treated conservatively with antihypertensive medication. During admission, he stayed haemodynamically stable and free of complications and was discharged. Eight months later, a follow-up CTA showed improvement of the intramural haematoma.
Conclusion: intramural haematoma of lusorian artery with ‘Kommerell diverticulum’.

Acknowledgements

The authors thank Dennis Bosboom, radiologist at the Department of Radiology at Radboud University Medical Center Nijmegen, for his appreciation of CT images.

Conflict of interest

R. Joustra, A.P.J. van Dijk, H.W.J. Meijburg and M. Boulaksil declare that they have no competing interests.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Onze productaanbevelingen

Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Bijlagen

Caption Electronic Supplementary Material

3D volume rendering of computed tomography angiography scan performed on admission (see also Fig. 1)
Literatuur
1.
go back to reference Hunauld PM. Examen de quelques parties d’un singe. Hist Acad Roy Sci. 1735;2:516–23. Hunauld PM. Examen de quelques parties d’un singe. Hist Acad Roy Sci. 1735;2:516–23.
2.
go back to reference Bayford D. An account of a singular case of obstructed deglutition. Mem Med Soc Lond. 1794;2:275–86. Bayford D. An account of a singular case of obstructed deglutition. Mem Med Soc Lond. 1794;2:275–86.
3.
go back to reference Jalaie H, Grommes J, Sailer A, et al. Treatment of symptomatic aberrant subclavian arteries. Eur J Vasc Endovasc Surg. 2014;48:521–6.CrossRef Jalaie H, Grommes J, Sailer A, et al. Treatment of symptomatic aberrant subclavian arteries. Eur J Vasc Endovasc Surg. 2014;48:521–6.CrossRef
4.
go back to reference Kommerell B. Verlagerung des Ösophagus durch eine abnorm verlaufende Arteria subclavia dextra (Arteria lusoria). Fortschr Geb Roentgenstrahlen. 1936;54:590–5. Kommerell B. Verlagerung des Ösophagus durch eine abnorm verlaufende Arteria subclavia dextra (Arteria lusoria). Fortschr Geb Roentgenstrahlen. 1936;54:590–5.
Metagegevens
Titel
A freaky artery
Auteurs
R. Joustra
A. P. J. van Dijk
H. W. J. Meijburg
M. Boulaksil
Publicatiedatum
22-10-2018
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 11/2018
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-018-1189-y

Andere artikelen Uitgave 11/2018

Netherlands Heart Journal 11/2018 Naar de uitgave