Arteria lusoria causing dyspnea: about a case

Arteria lusoria or retroesophageal right subclavian artery is the most common aortic arch malformation, accounting for 0.5-2.5% of cases. It can be detected in patients with symptoms including airway and/or esophageal compression such as dyspnea or dysphagia or even recurrent respiratory infections;...

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Bibliographic Details
Published inThe Pan African medical journal Vol. 37; p. 318
Main Authors Ndiaye, Kader, Abbassi, Adamou, Traoré, Sory, Vagba, Jacob, Aouami, Aboubacar, Berret, Martine
Format Journal Article
LanguageFrench
Published Uganda 07.12.2020
Subjects
Adult
Cardiovascular Abnormalities - complications
Cardiovascular Abnormalities - diagnosis
Dyspnea - etiology
Female
Humans
Respiratory Distress Syndrome - etiology
Subclavian Artery - abnormalities
case report
Arteria lusoria
laryngeal dyspnea
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Summary:Arteria lusoria or retroesophageal right subclavian artery is the most common aortic arch malformation, accounting for 0.5-2.5% of cases. It can be detected in patients with symptoms including airway and/or esophageal compression such as dyspnea or dysphagia or even recurrent respiratory infections; but it is mostly asymptomatic, as reported by several authors. We here report the case of a 44-year-old female patient treated in our emergency room due to respiratory distress syndrome associated with arteria lusoria. This is a rare cause of dyspnea which should be suspected in patients with dyspnea not responding to medical treatment. Asymptomatic patients undergo medical treatment associated with simple surveillance. Surgery is necessary when it becomes symptomatic or when it is associated with Kommerell diverticulum (KD).
ISSN:1937-8688
DOI:10.11604/pamj.2020.37.318.23253