Complications of Anomalous Origin of the Right Subclavian Artery: Case Report and Review of the Literature

Donald L. Akers, Richard J. Fowl, James Plettner, Richard F. Kempczinski

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

A 35-year-old black woman presented with thrombosis of an anomalous right subclavian artery and distal arterial embollzation. Initially, her right subclavian artery was reimplanted onto the common carotid artery, and a brachial artery embolectomy plus intraoperative thrombolytic therapy were used to reopen her distal arterial circulation. When her brachial artery repair thrombosed the following day, a distal ulnar artery bypass and repeat thrombolytic therapy were required to restore arterial patency. Six months later, she returned with severe, progressive, neointimal hyperplasla of her brachial artery and a second attempt at arterial reconstruction was unsuccessful. She eventually required a right below-elbow amputation. This patient demonstrated an anomalous right subclavian artery that presented with distal embolization without an antecedent history of severe atherosclerotic disease or the development of a right subclavian artery aneurysm. A review of the medical literature relating to complications of this anomaly is provided.

Original languageEnglish (US)
Pages (from-to)385-388
Number of pages4
JournalAnnals of Vascular Surgery
Volume5
Issue number4
DOIs
StatePublished - Jan 1 1991

Keywords

  • Subclavian artery
  • amputation
  • anomalous right subclavian artery
  • brachial artery
  • distal ulnar artery bypass
  • embolism

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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