Management of Aberrant Subclavian Artery Pathologies
Summary
Management of aberrant subclavian artery pathologies encompasses congenital vascular variants such as aberrant right or left subclavian arteries arising anomalously from the aortic arch. These anomalies may lead to symptomatic compression of the oesophagus or trachea, aneurysmal degeneration, dissection or arterial–oesophageal fistulae. Early detection relies on cross‐sectional imaging including CT angiography and MRI, which guide both surveillance and intervention. Conservative management comprises clinical and imaging follow-up for asymptomatic or small lesions. Endovascular techniques—principally thoracic endovascular aortic repair and stent‐graft placement—have gained prominence for accelerated recovery and reduced perioperative morbidity. Open surgical repair, encompassing aneurysm resection, subclavian reimplantation or bypass procedures, remains indicated for young patients or complex anatomy unsuited to endovascular solutions. Hybrid approaches combine surgical debranching with endovascular exclusion, tailored to individual comorbidities and vocal tract or airway involvement. Interdisciplinary collaboration ensures optimal outcomes in settings where guideline consensus is limited and global practice varies.
Research from Nature Portfolio
No recent Nature Portfolio content available.
Management of Aberrant Subclavian Artery Pathologies publication trend
The graph below shows the total number of articles in management of aberrant subclavian artery pathologies across all publications each year (not limited to Nature Index journals).
Technical terms
Aberrant subclavian artery: A subclavian artery arising anomalously from the aortic arch, often passing posterior to the oesophagus.
Kommerell’s diverticulum: An aneurysmal outpouching at the origin of an aberrant subclavian artery.
Thoracic endovascular aortic repair (TEVAR): A minimally invasive technique employing an endograft to exclude pathology in the thoracic aorta.
Chimney stent: A parallel stent deployed to maintain branch vessel patency alongside a main aortic graft.
Hybrid repair: A combined open surgical and endovascular approach to treat complex vascular lesions.
References
- Kommerell’s Diverticulum in a Right-Sided Aortic Arch With an Aberrant Left Subclavian Artery Hybrid Repair. Vascular and Endovascular Surgery (2023).
- Dysphagia lusoria in a young patient with a concomitant aortic arch anomaly, successfully treated with surgery: a case report. Journal of Surgical Case Reports (2024).
- Thoracic Endovascular Aortic Repair for Aberrant Subclavian Artery and Stanford Type B Aortic Intramural Hematoma. Frontiers in Surgery (2022).
About these summaries
This Nature Research Intelligence Topic summary is created with the cited references and a large language model. We take care to ground generated text with facts, and have systems in place to gain human feedback on the overall quality of the process in line with our AI principles. We strive to create accurate and useful summaries for people unfamiliar with the research topic and that supports this goal. These pages are a beta release and will be updated as we learn how best to help people gain value from a research topic summary.
Turn complex research questions into confident strategic decisions
When you're under pressure to set direction, justify investment, or understand your competitive position, you need more than raw data — you need trusted insights you can act on.
Benchmark your performance against global peers using robust, methodologically sound analysis.
Combine quantitative metrics with qualitative expert insight to uncover strengths, gaps and emerging opportunities.
Gain tailored, decision-ready recommendations aligned to your strategic priorities.
Talk to us to learn more about our data dashboards and bespoke strategy reports.
Grow research skills, confidence and careers with training built for every stage of the research lifecycle.
Developed with Nature Portfolio journal Editors and internationally renowned experts. Discover three ways to learn:
Self-paced, online courses in convenient bite-sized units, covering key skills across scientific writing, publishing, grant writing, data analysis, and more.
Expert trainer-led workshops with hands-on exercises and real-time feedback across core research skills, delivered via interactive group sessions.
Editor-led workshops combining core principles in writing and publishing, personalised 1:1 feedback from Nature Portfolio Editors and hands-on exercises.
Explore course catalogues and workshop agendas, enquire about the options or request institutional pricing.