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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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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author Quanrui Liu
author_facet Quanrui Liu
author_sort Quanrui Liu
collection DOAJ
description 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.
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spelling doaj-art-64faff0a0daf4d9a83ba5f130c3c8dae2025-08-20T02:56:44ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-03-011210.3389/fsurg.2025.15480411548041Case Report: Beware of arteria lusoria: a potential risk factor in esophagectomy surgeryQuanrui LiuThe 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.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1548041/fullesophagectomy surgerycomputed tomographyarteria lusoriavascular anomaliesarterial injury
spellingShingle Quanrui Liu
Case Report: Beware of arteria lusoria: a potential risk factor in esophagectomy surgery
Frontiers in Surgery
esophagectomy surgery
computed tomography
arteria lusoria
vascular anomalies
arterial injury
title Case Report: Beware of arteria lusoria: a potential risk factor in esophagectomy surgery
title_full Case Report: Beware of arteria lusoria: a potential risk factor in esophagectomy surgery
title_fullStr Case Report: Beware of arteria lusoria: a potential risk factor in esophagectomy surgery
title_full_unstemmed Case Report: Beware of arteria lusoria: a potential risk factor in esophagectomy surgery
title_short Case Report: Beware of arteria lusoria: a potential risk factor in esophagectomy surgery
title_sort case report beware of arteria lusoria a potential risk factor in esophagectomy surgery
topic esophagectomy surgery
computed tomography
arteria lusoria
vascular anomalies
arterial injury
url https://www.frontiersin.org/articles/10.3389/fsurg.2025.1548041/full
work_keys_str_mv AT quanruiliu casereportbewareofarterialusoriaapotentialriskfactorinesophagectomysurgery