PREOPERATIVE DIAGNOSIS ARTERIA LUSORIA IN THYROID SURGERY

  • Елена Алексеевна Ильичева Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk Regional Clinical Hospital http://orcid.org/0000-0002-2081-8665
  • Анастасия Валерьевна Жаркая Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk Regional Clinical Hospital http://orcid.org/0000-0002-9337-2369
  • Дмитрий Александрович Булгатов Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk Regional Clinical Hospital; Irkutsk State Medical University http://orcid.org/0000-0002-2440-0813
  • Мария Александровна Боричевская Irkutsk Regional Clinical Hospital
  • Елена Юрьевна Крынина Irkutsk Regional Clinical Hospital
  • Валерий Николаевич Махутов Irkutsk Regional Clinical Hospital http://orcid.org/0000-0001-7318-7193

Abstract

 The aberrant right subclavian artery is an aortic arch anomaly known as arteria lusoria. It has a frequent association with nonrecurrent inferior laryngeal nerve. We present a case of pre-operative diagnosis of the arteria lusoria when planning surgical treatment for a benign disease of the thyroid gland. During the intraoperative revision, a nonrecurrent inferior laryngeal nerve was detected on the right and a typically recurrent laryngeal nerve was located on the left. In this clinical situation, the fluoroscopy of the esophagus allowed us to identify the vascular anomaly, which is a prognostic sign of the irreversible nonrecurrent inferior laryngeal nerve. We consider it necessary to perform fluoroscopy of the esophagus in patients with suspected compression of the neck organs with an enlarged thyroid gland. 

References

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15. Tyczyński P., Michałowska I., Fronczak A., et al. Coexistence of bicuspid aortic valve, aberrant right subclavian artery and common origin of carotid arteries // Folia Morphol (Warsz). 2017. Vol. 76. №3. P.414-419. DOI: 10.5603/FM.a2017.0015.
REFERENCES
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2. Galushko D.A., Asmaryan H.G., Pasko M.A. Clinical anatomy and features non-recurrent inferior laryngeal nerve in thyroid surgery. Case report // Clinical and experimental thyroidology. 2016. Vol. 12. №3. P.31-36. (in Russian)
3. Citton M., Viel G., Iacobone M. Neck ultrasonography for detection of non-recurrent laryngeal nerve // Gland Surg. 2016. Vol. 5. №6. P.583-590. DOI: 10.21037/gs.2016.11.07.
4. Dimitroglou Y., Loulakas I., Chounti M., et al. Unusual symptomatic late onset presentation of aberrant right subclavian artery: report of two cases and short literature review // Monaldi Arch Chest Dis. 2017. Vol. 18. №87(1). P.774. DOI: 10.4081/ monaldi.2017.774.
5. Fourdrain A., Lafitte S., Iquille J., et al. Delayed-onset tension hemothorax following blunt trauma and the rupture of a previously undiagnosed aberrant right subclavian artery // J Thorac Dis. 2017. Vol. 9. №3. P.245-248. DOI: 10.21037/jtd.2017.02.87.
6. Henry B.M., Sanna S., Graves M.J., et al. The Non-Recurrent Laryngeal Nerve: a meta-analysis and clinical considerations // PeerJ. 2017. Vol. 21. №5. P.3012. DOI: 10.7717/peerj.3012.
7. Joliat G.R., Dubuis C., Déglise S. Complicated thoracoabdominal aortic dissection presenting with lower limb ischemia in a patient with bovine arch and arteria lusoria // Eur Rev Med Pharmacol Sci. 2017. Vol. 21. №2. P.310-312.
8. Moorthy N., Ananthakrishna R., Rao D.P.V., et al. Right Aortic Arch With Left-Sided Arteria Lusoria: A Challenge for Radial Interventionalists // JACC Cardiovasc Interv. 2017. Vol. 8. №10(9). P.85-86. DOI: 10.1016/j.jcin.2017.02.017.
9. Nóbrega-Pinto A., Carvalho I., Almeida-Sousa C. Arteria lusoria: A rare cause of tracheal compression // Acta Otorrinolaringol Esp. 2017. Vol. 10. pii: S0001-6519(17)30129-2. DOI: 10.1016/j.otorri.2017.04.004.
10. Polednak A.P. Prevalence of the aberrant right subclavian artery reported in a published systematic review of cadaveric studies: The impact of an outlier // Clin Anat. 2017. Vol. 30. №8. P.1024-1028. DOI: 10.1002/ca.22905.
11. Rafiq A., Chutani S., Krim N.R. Incidental finding of arteria lusoria during transradial coronary catheterization: Significance in interventional cardiology // Catheter Cardiovasc Interv. 2017. Vol. 8. DOI: 10.1002/ccd.27439.
12. Rouman M., Petrovitch A., Gey E.M., Kuntze T. Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report // Thorac Cardiovasc Surg Rep. 2017. Vol. 6. №1. P.15-17. DOI: 10.1055/s-0037-1603625.
13. Settembre N., Saba C., Bouziane Z., et al. Hybrid Treatment of the Aberrant Right Subclavian Artery (Arteria Lusoria): Feasibility Study on 180 Angio-CTs // Ann Vasc Surg. 2017. Vol. 44. P.229-233. DOI: 10.1016/j.avsg.2017.03.172.
14. Stedman G.W. A singular distribution of some of the nerves and arteries of the neck and the top of the thorax // Edindeli Med Surg J. 1823. Vol. 19. P.564-565.
15. Tyczyński P., Michałowska I., Fronczak A., et al. Coexistence of bicuspid aortic valve, aberrant right subclavian artery and common origin of carotid arteries // Folia Morphol (Warsz). 2017. Vol. 76. №3. P.414-419. DOI: 10.5603/FM.a2017.0015.
Published
2019-01-31
How to Cite
ИЛЬИЧЕВА, Елена Алексеевна et al. PREOPERATIVE DIAGNOSIS ARTERIA LUSORIA IN THYROID SURGERY. Sibirskij Medicinskij Zurnal (Irkutsk) = Siberian Medical Journal (Irkutsk) 16+, [S.l.], v. 154, n. 3, p. 25-29, jan. 2019. ISSN 1815-7572. Available at: <http://smj.ismu.baikal.ru/index.php/osn/article/view/306>. Date accessed: 26 july 2026.
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Vol 154 No 3 (2018)
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Original research
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