Dysphagia Lusoria due to Aberrant Right Subclavian Artery
Ishaq Malik, Jan Muzzafar, A Koul Kesar
Keywords :
Dysphagia, Subclavian Artery
Citation Information :
Malik I, Muzzafar J, Kesar AK. Dysphagia Lusoria due to Aberrant Right Subclavian Artery. Ann Pediatr Gastroenterol Hepatol 2019; 1 (2):16-18.
Dysphagia Lusoria is dysphagia secondary to an aberrant right subclavian (ARSA) artery that traverses behind esophagus. We present a 11-year-old female complaining of weight loss and dysphagia. The diagnosis was pointed by barium swallow followed by endoscopy and CT angiography confirmed it. The combination of the common carotid origins and the retroesophageal course of the aberrant vessel frequently contribute to symptoms in the absence of an aneurysm of the aberrant vessel. Several surgical techniques for the aberrant vessel have been described, but we did an open ligation and transposition to the right carotid artery.
Williams GD, Aff HM, Schmeckebier M, Edmonds HW. Variation sin the arrangement of the branches arising from the aortic arch in the American whites and negroes. The Anatomical Record. 1932;54: 247-251.
Bayford D. An account of a singular case of obstructed degluitition. Memoirs of the Medical Society of London. 1794; 2:275-286.
Rahman HA, Sakurai A, Dong K, Setsu T, Umetani T. The retroesophageal subclavian artery.a case report and review. Kaibogaku zasshi. Journal of anatomy. 1993;68(3): 281-287.
Adachi B. Das Arteriensystem der Japener. Tokyo, Japan: Kenkyusha Press; 1928.
Saito T, Tamatsukuri Y, Hitosugi T Three cases of retroesophageal right subclavian artery. Journal of Nippon Medical School. 2005;72(6):375-382.
Janssen M, Baggen MGA, Veen HF. Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy. American Journal of Gastroenterology. 2000;95(6):1411-1416.
Klinkhamer AC. A berrant right subclavian artery. Clinical and roentgenologic aspects. The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine. 1966;97(2):438-446.
Gross RE, Neuhauser EBD. Compression of trachea by anomalous innominate artery: operation for its relief. American Journal of Diseases of Children. 1948;75:570-574.
Harada H, Ito T, Yamamoto N, Abe T. Surgical treatment of an aneurysm of the aberrant right subclavian artery involving an aortic arch aneurysm and coronary artery disease. Annals of Thoracic and Cardiovascular Surgery. 2001;7(12): 109-112.
Kieffer E, Bahnini A, Koskas F. Aberrant subclavian artery: surgical treatment in thirty-three adult patients. Journal of Vascular Surgery. 1994;19(1):100-111.
Gross RE. Surgical treatment of dysphagia lusoria. Annals of Surgery. 1946;124:532-534.
Lichter I. The treatment of dysphagia lusoria in the adult. The British Journal of Surgery. 1963;50:793-796.
Smith JM, Reul GJ, Wurash DC, Cooley DA. Retro-oesophageal subclavian arteries: surgical management of symptomatic children. Cardiovascular Diseases. 1979;6:333-334.
Pifarre R, Dieter RA, Niedballa RG. Definitive surgical treatment of the aberrant retroesophageal right subclavian artery in the adult. Journal of Thoracic and Cardiovascular Surgery. 1971;61(1): 154-159.
Shennib H, Diethrich EB. Novel approaches for the treatment of the aberrant right subclavian artery and its aneurysms. Journal of Vascular Surgery. 2008;47(5): 1066-1070.
Kopp R, Wizgall I, Kreuzer E, et al. Surgical and endovascular treatment of symptomatic aberrant right subclavian artery (arterialusoria) Vas cular. 2007;15(2):84-91.
