Case Report: Beware of arteria lusoria: a potential risk factor in esophagectomy surgery

The aberrant right subclavian artery (ARSA), also known as lusoria artery, is a relatively rare vascular malformation influencing 0.6% to 1.4% of the population, and this figure elevates exponentially to 26%–34% among Down-syndrome individuals. However, few cases are available on esophageal cancer a...

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Bibliographic Details
Main Author: Quanrui Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Surgery
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Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2025.1548041/full
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Summary:The aberrant right subclavian artery (ARSA), also known as lusoria artery, is a relatively rare vascular malformation influencing 0.6% to 1.4% of the population, and this figure elevates exponentially to 26%–34% among Down-syndrome individuals. However, few cases are available on esophageal cancer associated with ARSA. Here, we report a 30-year-old male esophageal cancer patient with arteria lusoria, which elevated surgical risks in esophagectomy. We reviewed the key points of anatomy and further complications to understand this vascular anomaly in esophagectomy. This report aims to raise awareness among thoracic surgeons and radiologists about the importance of thorough preoperative assessment and the unique challenges posed by ARSA in esophageal cancer surgery.
ISSN:2296-875X