Conservative Management of Aberrant Right Subclavian Artery (Arteria Lusoria): A Case Report and Literature Review

TL;DR

This paper discusses a case where an elderly patient with an abnormal artery was successfully managed without surgery, suggesting conservative treatment could be a valid option.

Contribution

The paper presents a case advocating for conservative management of arteria lusoria in elderly patients with regular monitoring.

Findings

Conservative management of arteria lusoria can be effective in elderly patients.

Regular surveillance is recommended to detect potential complications requiring surgery.

Abstract

The most common embryological aortic arch abnormality is the aberrant right subclavian artery (ARSA), also known as arteria lusoria or dysphagia lusoria. Arteria lusoria is commonly associated with vascular anomalies, including truncus bicaroticus, right-sided aortic arch, and Kommerell's diverticulum (KD), predisposing to complications like acute aortic syndrome. Surgical intervention is usually reserved for symptomatic patients with compressive and/or hemodynamic alterations. However, there is no consensus on its clinical management and subsequent follow-up. Here, we present the case of a 71-year-old symptomatic elderly female with arteria lusoria who was managed conservatively. We believe conservative management is a viable option, especially in elderly patients, which should be supported with regular surveillance to detect any complications that necessitate surgical intervention.

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