• J. Vasc. Surg. · Sep 2014

    Case Reports

    Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic aberrant left subclavian artery.

    • Apostolos T Mamopoulos and Bernd Luther.
    • Department of Vascular and Endovascular Surgery, Helios Klinikum Krefeld, Krefeld, Germany. Electronic address: a.mamopoulos@web.de.
    • J. Vasc. Surg. 2014 Sep 1;60(3):776-9.

    AbstractA right-sided aortic arch is a rare anomaly with an incidence of 0.1% worldwide and is usually associated with a mirror image of all supra-aortic branches or an aberrant left subclavian artery. The latter is often associated with a Kommerell diverticulum, although it can rarely be hypoplastic or atretic and lead to congenital subclavian steal. In most patients, the situation is well-tolerated. In this report, we present a case of subclavian steal syndrome with multiple cerebellar infarcts in a patient with an atypical right-sided aortic arch and an atretic aberrant left subclavian artery arising from a left-sided descending thoracic aorta.Copyright © 2014 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

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