Thoracic aorta aneurysm tracheal compression and anatomical variant of the right subclavian artery: A case report

Francesca Cianfrone, MD, PhD; Italo Cantore, MD, PhD, FACS; Claudio Montuori, MD; Pio Bevilacqua, MD; Francesco Tauro, MD; Raffaele Chiarelli, MD; Roberto Marcello, MD; Paolo Ruscito, MD

doi:10.1016/j.radcr.2025.04.019

Radiology Case Reports (Aug 2025)

Thoracic aorta aneurysm tracheal compression and anatomical variant of the right subclavian artery: A case report

Francesca Cianfrone, MD, PhD,
Italo Cantore, MD, PhD, FACS,
Claudio Montuori, MD,
Pio Bevilacqua, MD,
Francesco Tauro, MD,
Raffaele Chiarelli, MD,
Roberto Marcello, MD,
Paolo Ruscito, MD

Affiliations

Francesca Cianfrone, MD, PhD: ENT Department, Asl Roma 1 San Filippo Neri Hospital, Rome, Italy
Italo Cantore, MD, PhD, FACS: ENT Department, Asl Roma 1 San Filippo Neri Hospital, Rome, Italy; Corresponding author.
Claudio Montuori, MD: Department of Head-Neck and Sensory Organs, Catholic University of Sacred Heart, Rome, Italy
Pio Bevilacqua, MD: ENT Department, Asl Roma 1 San Filippo Neri Hospital, Rome, Italy
Francesco Tauro, MD: ENT Department, Asl Roma 1 San Filippo Neri Hospital, Rome, Italy
Raffaele Chiarelli, MD: ENT Department, Asl Roma 1 San Filippo Neri Hospital, Rome, Italy
Roberto Marcello, MD: Radiology Unit, Asl Roma 1 San Filippo Neri Hospital, Rome, Italy
Paolo Ruscito, MD: ENT Department, Asl Roma 1 San Filippo Neri Hospital, Rome, Italy

DOI: https://doi.org/10.1016/j.radcr.2025.04.019
Journal volume & issue: Vol. 20, no. 8
pp. 3729 – 3732

Abstract

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Tracheo-bronchial compression is a complication of vascular congenital and acquired anomalies, usually associated with double aortic arch, aberrant subclavian artery, pulmonary artery sling, Kommerell’s diverticulum, and with aneurysms of the aortic arch and thoracic aorta.In this report we present a case of a 75-year-old male with incidental diagnosis of tracheal compression by a thoracic aorta aneurysm combined with anatomical variant of the right subclavian artery, that came up to our attention because of the onset of a subarachnoid hemorrhage (SAH) caused by a bilobar shaped anterior cerebral artery aneurysm rupture.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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