Cor Vasa 2021, 63(5):612-614 | DOI: 10.33678/cor.2021.051

Arteria lusoria - a rare cause of dysphagia or a common accidental finding?

Martin Jozef Péč^a, Monika Kučeríková^{b, c}, Kristína Grilusová^a, Veronika Slobodníková^a, Alena Strýčková^b, Monika Beliančinová^d, Juraj Sokol^b, Matej Samoš^a, Peter Galajda^a, Kamil Zeleňák^e, Marián Mokáň^a

^a 1st Department of Internal Medicine, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia

^b Department of Haematology and Transfusion Medicine, National Centre of Haemostasis and Thrombosis, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia

^c Oncology Centre, University Hospital in Martin, Martin, Slovakia

^d Department of Surgery and Transplant Centre, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia

^e Clinic of Radiology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia

The most important abnormality of the aortic arch is, without question, the presence of the arteria lusoria, the aberrant right subclavian artery (ARSA). The presence of this anatomical structure is often connected with symptoms caused by oppression in its surroundings. This anomaly is rarely associated with the presence of an aneurysm at the point of separation from the aortic arch - Kommerell's diverticulum, which carries the risk of rupture or dissection. We present a rare case of an 84-year-old patient with asymptomatic arteria lusoria aneurysm which was diagnosed by chance during hospitalization with subsequent endovascular treatment. Arteria lusoria and Kommerell's diverticulum were successfully endovascularly treated, resulting in good recovery.

Keywords: Arteria lusoria, Dysphagia, Kommerell's diverticulum

Received: March 30, 2021; Revised: April 6, 2021; Accepted: April 8, 2021; Published: October 20, 2021  Show citation