Abstract
A rare anatomic variant of the right vertebral artery is reported as an incidental finding in a 78-year-old female patient. The vessel originated from the aortic arch distal to the origin of the left subclavian artery and presented an unusual retroesophageal course, thus was named “vertebral arteria lusoria”. As multi-detector row computed tomography examination is now widely used, this anatomical variant should be considered in any patient undergoing esophageal surgery. Misdiagnosis of such an aberrant vertebral artery may cause life-threatening issues.
Similar content being viewed by others
Abbreviations
- MDCT:
-
Multi-detector row computed tomography
- VAL:
-
Vertebral arteria lusoria
- RSCA:
-
Right subclavian artery
References
Edwards JE (1948) Anomalies of the derivatives of the aortic arch system. Med Clin North Am 32:925–949
Kimura-Hayama ET, Meléndez G, Mendizábal AL, Meave-González A, Zambrana GF, Corona-Villalobos CP (2010) Uncommon congenital and acquired aortic diseases: role of multidetector CT angiography. Radiographics 30:79–98
Canyigit M, Akgoz A, Koksal A, Yucesoy C (2009) Aberrant right vertebral artery: a rare aortic arch anomaly. Br J Radiol 82:789–791
Hsu DP, Alexander AD, Gilkeson RC (2010) Anomalous vertebral artery origins: the first and second reports of two variants. J NeuroIntervent Surg 2:160–162
Goray VB, Joshi AR, Garg A, Merchant S, Yadav B, Maheshwari P (2005) Aortic arch variation: a unique case with anomalous origin of both vertebral arteries as additional branches of the aortic arch distal to left subclavian artery. AJNR Am J Neuroradiol 26:93–95
Lemke AJ, Benndorf G, Liebig T, Felix R (1999) Anomalous origin of the right vertebral artery: review of the literature and case report of right vertebral artery origin distal to the left subclavian artery. AJNR Am J Neuroradiol 20:1318–1321
Stoesslein F, Porstmann W, Schueler F, Schoepke W (1982) Aberrant vertebral artery originating from the descending aorta: a new congenital steal syndrome in coarctation. Eur J Radiol 2:157–159
Verin AL, Creuze N, Musset D (2010) Multidetector CT scan findings of a right aberrant retroesophageal vertebral artery with an anomalous origin from a cervical aortic arch. Chest 138:418–422
Wasserman BA, Mikulis DJ, Manzione JV (1992) Origin of the right vertebral artery from the left side of the aortic arch proximal to the origin of the left subclavian artery. AJNR Am J Neuroradiol 13:355–358
Levy RM, Wizorek J, Shende M, Luketich JD (2010) Laparoscopic and thoracoscopic esophagectomy. Adv Surg 44:101–116
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lacout, A., Khalil, A., Figl, A. et al. Vertebral arteria lusoria: a life-threatening condition for oesophageal surgery. Surg Radiol Anat 34, 381–383 (2012). https://doi.org/10.1007/s00276-011-0867-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-011-0867-x