Non-aneurysmal aberrant right subclavian artery causing dysphagia in a young girl: challenges encountered using supraclavicular approach
نویسندگان
چکیده
Aberrant right subclavian artery is the most common anomaly of the aortic arch. Patients are often asymptomatic and discovered accidentally. Occasionally, they present with symptoms related to oesophageal or tracheal compression.A 13-year-old girl presented with dysphagia and stridor was found to have an aberrant right subclavian artery. Surgical division and reconstruction of the artery was performed initially through right supraclavicular approach. An additional left thoracotomy was performed to overcome the challenges encountered at initial operation.
منابع مشابه
Dysphagia lusoria.
A76-year-old woman presented with difficulty swallowing solid food and with shortness of breath. Her symptoms had developed over several months. She did not have odynophagia, had not experienced weight loss and did not drink alcohol or smoke. Her physical exam was unremarkable. Barium esophagography showed a posterior oblique indentation of the proximal esophagus slightly above the level of the...
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Right-sided aortic arches are rare, affecting approximately 0.1% of the population. They are a result of abnormal development of the primitive aortic arches and may present later in life with later life with aneurysmal expansion of the aberrant left subclavian artery 'Kommerell's diverticulum'. These can be challenging to treat effectively. We report a rare case presenting with mild dysphagia a...
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A 36-year old woman presented with a 5-year history of progressive dysphagia. The barium swallow of the oesophagus revealed an oblique extrinsic defect consistent with an aberrant right subclavian artery. A computed tomography angiogram confirmed the diagnosis. Surgical correction is indicated for dysphagia lusoria in association with an aberrant right subclavian artery. The patient underwent s...
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Aberrant right subclavian artery (arteria lusoria) is the most common congenital root anomaly, remaining asymptomatic in most cases. Nevertheless, some of the 20%-40% of those affected present tracheo-esophageal symptoms. We report on a 6-year-old previously healthy girl presenting with progressive dysphagia over 4 wk. Diagnostics including barium swallow, echocardiography and magnetic resonanc...
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In 1794, Bayford described the post-mortem findings of a woman with lifelong dysphagia who eventually died of starvation, caused by oesophageal obstruction.' At post-mortem a right subclavian artery was identified passing aberrantly from a left-sided aortic arch behind the oesophagus, causing the woman's dysphagia. Dr Bayford referred to this extraordinary disposition ofthe right subclavian art...
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