title: Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic aberrant left subclavian artery.
abstract: A 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.
authors: Department of Vascular and Endovascular Surgery, Helios Klinikum Krefeld, Krefeld, Germany. Electronic address: a.mamopoulos@web.de.
authors: Apostolos T
authors: AT
authors: Mamopoulos
authors: Department of Vascular and Endovascular Surgery, Helios Klinikum Krefeld, Krefeld, Germany.
authors: Bernd
authors: B
authors: Luther
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001027:Aortography / Q000379:methods; D018376:Cardiovascular Abnormalities / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002533:Cerebral Angiography / Q000379:methods; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D003680:Deglutition Disorders / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D013349:Subclavian Steal Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome