Aberrant right subclavian artery ("arteria lusoria") without the known associated nerve anomaly: an "anomaly of the anomaly"? A clinical case and review of the literature.
The "non-recurrent" course of the inferior laryngeal nerve (ILN) is an anatomical variant which must be borne in mind during thyroid surgery. The "non-recurrent" course of the ILN on the right side is associated with the aberrant right subclavian artery (arteria lusoria), and, on the left, is described in situs viscerum inversus. We present a case in which the "arteria lusoria" was not associated with the non-recurrent right ILN. The aims of this paper are to report this "anomaly of the anomaly" to surgeons who may be unaware of it on the one hand and on the other to emphasize that this is the only case so far reported in the literature. Moreover we proposed to explain embryologically these unexpected findings.
II Surgical Clinics, Department of Oncology, Surgery and Gastroenterologic Sciences (DiSCOG), University of Padova, Padova, Italy.
Maria Rosa
MR
Pelizzo
II Surgical Clinics, Department of Oncology, Surgery and Gastroenterologic Sciences (DiSCOG), University of Padova, Padova, Italy.
Isabella Merante
IM
Boschin
Nuclear Medicine and Radiology Department, Rovigo Hospital, Rovigo, Italy.
Sotirios
S
Chondrogiannis
Nuclear Medicine Department, Hospices Civils de Lyon and EMR3738, University of Lyon, Lyon, France.
Francesco
F
Giammarile
Nuclear Medicine Department, University of Southern California, Los Angeles, USA.
Patrick M
PM
Colletti
Nuclear Medicine and Radiology Department, Rovigo Hospital, Rovigo, Italy. domenico.rubello@libero.it.|Department of Molecular Imaging, Radiology, NeuroRadiology, Medical Physics, Clinical Laboratory, Microbiology, Pathology, Rovigo Hospital, Rovigo, Italy. domenico.rubello@libero.it.|Department of Imaging and Pathology, Santa Maria della Misericordia Hospital, 45100, Rovigo, Italy. domenico.rubello@libero.it.
Domenico
D
Rubello
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging*; D018376:Cardiovascular Abnormalities / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D037981:Neck Dissection; D012009:Recurrent Laryngeal Nerve / Q000002:abnormalities*; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy; D014057:Tomography, X-Ray Computed
Aberrant surgical anatomy; Clinical case; Neck surgery; Right subclavian artery