Fibromuscular hyperplasia in an aberrant subclavian artery and neurogenic thoracic outlet syndrome: An unusual combination Jennifer L. Chambers, MBBS,

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Presentation transcript:

Fibromuscular hyperplasia in an aberrant subclavian artery and neurogenic thoracic outlet syndrome: An unusual combination Jennifer L. Chambers, MBBS, FRACS, Michael L. Neale, MBBS, Michael Appleberg, FCS(SA), FRACS, FACS, DDU Journal of Vascular Surgery Volume 20, Issue 5, Pages 834-838 (November 1994) DOI: 10.1016/S0741-5214(94)70173-3 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Digital subtraction aortogram shows anomalous origin of right subclavian artery. Vessel arises from funnel-shaped Kommerell's diverticulum (large arrow) distal to origin of left subclavian artery overlying proximal descending thoracic aorta. There is poor filling of aberrant vessel with contrast in arch injection. Right vertebral artery arises from right common carotid artery (small arrow). B, Line drawing demonstrates angiographic findings shown A. a, Funnel-shaped origin of aberrant right subclavian artery (shaded); b, left subclavian artery; c, right common carotid artery; d, right vertebral artery arising from right common carotid; e, left common carotid artery; f, left vertebral artery. Journal of Vascular Surgery 1994 20, 834-838DOI: (10.1016/S0741-5214(94)70173-3) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Digital subtraction aortogram shows anomalous origin of right subclavian artery. Vessel arises from funnel-shaped Kommerell's diverticulum (large arrow) distal to origin of left subclavian artery overlying proximal descending thoracic aorta. There is poor filling of aberrant vessel with contrast in arch injection. Right vertebral artery arises from right common carotid artery (small arrow). B, Line drawing demonstrates angiographic findings shown A. a, Funnel-shaped origin of aberrant right subclavian artery (shaded); b, left subclavian artery; c, right common carotid artery; d, right vertebral artery arising from right common carotid; e, left common carotid artery; f, left vertebral artery. Journal of Vascular Surgery 1994 20, 834-838DOI: (10.1016/S0741-5214(94)70173-3) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Digital subtraction angiogram with selective injection of anomalous origin of right subclavian artery shows funnel-shaped Kommerell's diverticulum and irregular, beaded, and tortuous course of aberrant right subclavian artery. Distally, subclavian artery shows more regular appearance and normal caliber. Journal of Vascular Surgery 1994 20, 834-838DOI: (10.1016/S0741-5214(94)70173-3) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Histologic section of aberrant right subclavian artery showing extensive irregular thickening of media with predominantly fibrous tissue. (Hematoxylin-eosin stain, original magnification x 40.) Journal of Vascular Surgery 1994 20, 834-838DOI: (10.1016/S0741-5214(94)70173-3) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions