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The Operation of Symptomatic Aneurysm of the Left Subclavian Artery with Supraclavicular Access

100%
Markiel Z., Gul T., Tomalski W.
Polish Journal of Surgery
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2007
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vol. 79
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issue 5
389-391
EN
The study presented a case of a 64-year-old woman with symptomatic aneurysm of the left subclavian artery. Because of comorbid diseases, the thoracic operation was associated with a high risk of complications. CT analyses enabled the surgeons to appropriately plan and perform a supraclavicular access operation, avoid possible complications, and shorten the length of hospitalization.
2
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Epidemiology and pathogenesis of thoracic outlet syndrome

100%
Wojcik G., Sokolowska B., Piskorz J.
Current Issues in Pharmacy and Medical Sciences
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2015
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vol. 28
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issue 1
24-26
EN
The superior thoracic aperture is a place particularly vulnerable to the occurrence of tissue conflict and the development of a number of neurovascular changes carrying a risk of upper limb dysfunction. The triggering factor in this case is the pressure on the nerve vascular elements brought about by too large muscles of the chest and neck, clavicle fracture and dislocation of the upper ribs, anomalies in the form of ribs, in the neck, or by apex of the lung tumors. Each anatomical anomaly may be a cause of a number of lesions and lead to the development of the disease. Due to the nature of the oppressed structures, there are two basic groups: neurogenic and vascular. The most common variant giving clinical symptoms is neurogenic thoracic outlet syndrome. In this, the compression ratio, the brachial plexus, and for this reason, the vascular surface of the upper limb dysfunction is often overlooked. However, the vascular variant, and especially arterial sub-variant, is very dangerous because it can give complications even in the form of aneurysms, and even upper limb ischemia. The aim of the study is to present the most common changes in the thoracic outlet causing functional disorders of the upper limb.
3
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An unusual origin of the right subclavian artery – arteria lusoria

88%
Mocarska A., Szylejko M., Staroslawska E., Burdan F.
Current Issues in Pharmacy and Medical Sciences
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2014
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vol. 27
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issue 4
234-236
EN
The aortic arch usually gives off three major arterial branches: the brachiocephalic trunk, the left common carotid artery and the left subclavian artery. The most frequently occurring developmental variations of arterial trunks origins are a joined brachiocephalic and left common carotid artery origin, the left vertebral artery branching from the aortic arch, a double aortic arch, and a change of sequence of branching arteries. The current report presents the rare asymptomatic situation of the right subclavian artery originating as the last individual branching from the aortic arch. This abnormality was accidentally discovered in a computed tomography examination of a 69-year old male patient. The examination showed that the artery went towards the neck posteriorly from the trachea. The anatomical anomaly was interpreted as being an arteria lusoria.
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