Am J Gastroenterol. Jun;95(6) Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy. Janssen M(1), Baggen MG, Veen. Dysphagia lusoria is an impairment of swallowing due to compression from an aberrant right subclavian artery (arteria lusoria). Clinical presentation Most. Dysphagia is a relatively common and increasingly prevalent clinical problem, with prevalence of nearly 22% in the adult primary care population and of % .

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J Hepatol Gastroint Dis 2: Four years later, she remained without symptoms of dysphagia.

Support Radiopaedia and see fewer ads. Initial investigations, including full blood count and chest plain film, were within normal limits.

Dysphagia Lusoria Caused by an Aberrant Right Subclavian Artery

Digestive Diseases and Sciences. The lusorian artery is a rare anomaly of the right subclavian artery. Barium contrast examination of the esophagus showed a characteristic diagonal impression at the level of the fourth thoracic vertebra in all patients. July 16, ; Accepted date: Case 1 Case 1. A single cervical approach to aberrant right subclavian artery. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Computed tomography and angiography confirmed the diagnosis and excluded aneurysms. Case Report A year-old, otherwise-healthy woman with a 6-year history dyaphagia progressive dysphagia was referred to Waterbury Hospital. An oblique extrinsic defect courses from inferior left to superior right arrowconsistent with an aberrant right subclavian artery at the upper thoracic level just above the aortic arch.


Dysphagia Lusoria Caused by an Aberrant Right Subclavian Artery

In this case, esophagogram may show an indentation on the postero-lateral wall of the esophagus at the level and above the aortic arch. Open in a separate window. Dysphagia can be caused by a rare anomaly of the subclavian artery.

Case 6 Case 6. Dynamic oral contrast swallow studies with confirmatory CT or MRI imaging of vascular lesion remain useful diagnostic imaging tools, with subsequent medical or surgical management relating to the severity of symptoms. In our case, we suppose that dysphagia resulted from atherosclerosis, which made the artery wall stiffer and then causing compression on the esophagus.

At last, for patients with severe symptoms, which not benefit from medical strategies, surgical repair and reconstruction of the aberrant vessel should be considered [ 29 ]. Due to the persistence and worsening of her symptoms, surgical correction was ddysphagia. The aberrant subclavian artery. Treatment by arterial division and reestablishment of vascular continuity. Check for errors and try again.

Freed K, Low VH. Case 3 Case 3.

The involution of the right 4th vascular arch and proximal right dorsal aorta leaves the right 7th intersegmental artery attached to the abnormally persistent right dorsal aorta. CT angiography and MRI thorax are the best diagnostic modalities that could identify the arteria lusoria. About Blog ,usoria ad-free. Dysphagia lusoria or Bayford-Autenrieth dysphagia is an abnormal condition characterized by difficulty in swallowing caused by an aberrant right subclavian artery.


We found that the right supraclavicular approach provides good exposure and avoids the morbidity of the classically described approach via lusroia median sternotomy or thoracotomy.

Dysphagia lusoria

She underwent surgical repair, tolerated the procedure well, and was discharged home, symptom free, on postoperative day 3. Barium study of the esophagus may show the indentation on the posterior esophageal wall by the artery. Case 4 Dyspuagia 4.

In our case the hypothesis that clinically overt arteria lusoria was due to atherosclerotic wall and vessel stiffness supported by older age of symptomatic patients. Case 5 Case 5. Subsequently, an arteriogram confirmed the aberrant origin of the right subclavian artery Fig.

Dysphagia lusoria – Wikipedia

Case 7 Case 7. Ann Thorac Surg ; Ann R Coll Surg Engl. National Center for Biotechnology InformationU.