EC Paediatrics

The arteria lusoria is a rare entity, yet it stands as the most prevalent anomaly of the aortic arch. It is usually asymptomatic and rarely revealed in children. Dyspnea, stridor, recurrent pulmonary infections and other symptoms may occur if this vessel pressures the neighbouring structures. Asymptomatic patients undergo medical treatment associated with simple surveillance and surgery is necessary when it becomes symptomatic.

The aim of this article is to show through two case reports in children, the age of diagnosis, the circumstances of discovery, the means of diagnosis and the evolution of this infrequent pathology.

 Keywords: Arteria Lusoria; Laryngeal Dyspnea; Infant; Case Report

1. Myers PO., et al. “Arteria lusoria: Developmental anatomy, clinical, radiological and surgical aspects”. Annales de Cardiologie et d’Angéiologie3 (2010): 147-154.
2. Erami C., et al. “Dysphagia lusoria in an infant”. The Journal of Pediatrics6 (2013): 1289-1290.
3. Jahangeer S., et al. “Aberrant subclavian: new face of an old disease”. Journal of Visualized Surgery 4 (2018): 108-108.
4. Epperson MV and Howell R. “Dysphagia lusoria: problem or incidentaloma?” Current Opinion in Otolaryngology and Head and Neck Surgery.6 (2019): 448-452.
5. Rathnakar R., et al. “Dysphagia Lusoria with atrial septal defect: Simultaneous repair through midline”. Annals of Pediatric Cardiology 1 (2014): 58-60.
6. Derbel B., et al. “Aberrant right subclavian artery or arteria lusoria: a rare cause of dyspnea in children”. Annals of Vascular Surgery3 (2012): 419.e1-419.e4.
7. Valenzuela-Fuenzalida JJ., et al. “Systematic review and meta-analysis of right subclavian artery variants and their correlation with cervical-thoracic clinical conditions”. Medicine8 (2024): e36856.
8. Yang M., et al. “[Diagnostic value of 64 multislice CT in typing of congenital aortic anomaly in neonates and infants]”. Zhonghua Yi Xue Za Zhi31 (2010): 2167-2171.
9. Tallarita T., et al. “Characterization and surgical management of aberrant subclavian arteries”. Journal of Vascular Surgery4 (2023): 1006-1015.
10. François K., et al. “Early and late outcomes after surgical management of congenital vascular rings”. European Journal of Pediatrics 3 (2017): 371-377.