Chest Pain in the Patient with Arteria Lusoria: A Case Report

The most common anomaly of the aortic arch and its branches is the aberrant right subclavian artery – arteria lusoria. Usually, it produces dysphagia or dyspnea and chronic coughing.Our purpose is to underline that it is necessary to exclude the anomalies of the branches of the thoracic aorta, inclu...

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Main Authors: E. V. Reznik, Yu. V. Kemez
Format: Article
Language:Russian
Published: SINAPS LLC 2021-08-01
Series:Архивъ внутренней медицины
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Online Access:https://www.medarhive.ru/jour/article/view/1276
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author E. V. Reznik
Yu. V. Kemez
author_facet E. V. Reznik
Yu. V. Kemez
author_sort E. V. Reznik
collection DOAJ
description The most common anomaly of the aortic arch and its branches is the aberrant right subclavian artery – arteria lusoria. Usually, it produces dysphagia or dyspnea and chronic coughing.Our purpose is to underline that it is necessary to exclude the anomalies of the branches of the thoracic aorta, including arteria lusoria, in the patients with cardialgia of unknown origin.Clinical case. An 18-year-old female patient without a previously diagnosed chronic pathology was admitted to a hospital with chest pain after emotional stress for about an hour. The ECG revealed a sinus rhythm with a heart rate of 50 per minute, the normal direction of the electrical axis of the heart, the incomplete right bundle branch block, the negative T wave in the lead III. After excluding ischemic heart disease, acute coronary syndrome, pulmonary embolism, contrast-enhanced chest computed tomography revealed an aortic arch anomaly – a. lusoria.Conclusion. A. lusoria may manifest by cardiac pain. In patients with chest pain of unknown origin, it is advisable to include anomalies of the aorta and its branches, including the presence of the lusoria artery, in the range of differential diagnostics.
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spelling doaj-art-20696a8239f645b68c1780778b4e35c42025-08-20T03:00:39ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642021-08-0111431032010.20514/2226-6704-2021-11-4-310-320857Chest Pain in the Patient with Arteria Lusoria: A Case ReportE. V. Reznik0Yu. V. Kemez1Russian National Research Medical University (RNRMU) n.a. N.I. Pirogov; City Clinical Hospital n.a. V.M. Buyanov of Healthcare Department of Moscow; City Clinical Hospital № 31 of Healthcare Department of MoscowCity outpatient clinic № 166The most common anomaly of the aortic arch and its branches is the aberrant right subclavian artery – arteria lusoria. Usually, it produces dysphagia or dyspnea and chronic coughing.Our purpose is to underline that it is necessary to exclude the anomalies of the branches of the thoracic aorta, including arteria lusoria, in the patients with cardialgia of unknown origin.Clinical case. An 18-year-old female patient without a previously diagnosed chronic pathology was admitted to a hospital with chest pain after emotional stress for about an hour. The ECG revealed a sinus rhythm with a heart rate of 50 per minute, the normal direction of the electrical axis of the heart, the incomplete right bundle branch block, the negative T wave in the lead III. After excluding ischemic heart disease, acute coronary syndrome, pulmonary embolism, contrast-enhanced chest computed tomography revealed an aortic arch anomaly – a. lusoria.Conclusion. A. lusoria may manifest by cardiac pain. In patients with chest pain of unknown origin, it is advisable to include anomalies of the aorta and its branches, including the presence of the lusoria artery, in the range of differential diagnostics.https://www.medarhive.ru/jour/article/view/1276aberrant right subclavian arteryright subclavian retroesophageal arteryarteria lusoriaanomaly of the development of the aortic arch and its branchescardialgiachest paindifferential diagnostics
spellingShingle E. V. Reznik
Yu. V. Kemez
Chest Pain in the Patient with Arteria Lusoria: A Case Report
Архивъ внутренней медицины
aberrant right subclavian artery
right subclavian retroesophageal artery
arteria lusoria
anomaly of the development of the aortic arch and its branches
cardialgia
chest pain
differential diagnostics
title Chest Pain in the Patient with Arteria Lusoria: A Case Report
title_full Chest Pain in the Patient with Arteria Lusoria: A Case Report
title_fullStr Chest Pain in the Patient with Arteria Lusoria: A Case Report
title_full_unstemmed Chest Pain in the Patient with Arteria Lusoria: A Case Report
title_short Chest Pain in the Patient with Arteria Lusoria: A Case Report
title_sort chest pain in the patient with arteria lusoria a case report
topic aberrant right subclavian artery
right subclavian retroesophageal artery
arteria lusoria
anomaly of the development of the aortic arch and its branches
cardialgia
chest pain
differential diagnostics
url https://www.medarhive.ru/jour/article/view/1276
work_keys_str_mv AT evreznik chestpaininthepatientwitharterialusoriaacasereport
AT yuvkemez chestpaininthepatientwitharterialusoriaacasereport