Scholarlink

Background <p>Interrupted aortic arch (IAA) is a rare congenital defect involving complete discontinuity between the aortic arch and descending aorta. Aberrant right subclavian artery (ARSA) is a common variant, occasionally causing vascular complications. Intracranial aneurysm (IA) rupture leads to subarachnoid hemorrhage (SAH), a life-threatening event. The coexistence of IAA, ARSA, and IA is extremely rare and poses significant diagnostic and therapeutic challenges.</p> Case presentation <p>This report describes a young patient with type B IAA and ARSA, who also presented with multiple IA. The patient was admitted due to SAH. The extreme vessel angle of the right subclavian artery to the aorta and the reversal of blood flow in bilateral vertebral arteries made cerebral angiography and therapy difficult.</p> Conclusion <p>In young patients with IA, underlying vascular anomalies affecting hemodynamics should be carefully evaluated. IAA with ARSA poses challenges for vascular access but does not preclude safe and effective endovascular treatment. Comprehensive assessment and individualized planning are essential for favorable long-term outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Reverse blood flow treatment for aneurysmal subarachnoid hemorrhage due to interrupted aortic arch with aberrant right subclavian artery

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月7日

查看全文
  • Lun-Zhe Yang,
  • Yong Yang,
  • Chao Peng,
  • Hua-Wei Ye,
  • Yu Song,
  • Guang-Zhong Chen

摘要

Background

Interrupted aortic arch (IAA) is a rare congenital defect involving complete discontinuity between the aortic arch and descending aorta. Aberrant right subclavian artery (ARSA) is a common variant, occasionally causing vascular complications. Intracranial aneurysm (IA) rupture leads to subarachnoid hemorrhage (SAH), a life-threatening event. The coexistence of IAA, ARSA, and IA is extremely rare and poses significant diagnostic and therapeutic challenges.

Case presentation

This report describes a young patient with type B IAA and ARSA, who also presented with multiple IA. The patient was admitted due to SAH. The extreme vessel angle of the right subclavian artery to the aorta and the reversal of blood flow in bilateral vertebral arteries made cerebral angiography and therapy difficult.

Conclusion

In young patients with IA, underlying vascular anomalies affecting hemodynamics should be carefully evaluated. IAA with ARSA poses challenges for vascular access but does not preclude safe and effective endovascular treatment. Comprehensive assessment and individualized planning are essential for favorable long-term outcomes.