A 45-year-old male patient presented with the complaint of intermittent dysphagia for solids of 10 years duration. Flexible upper gastrointestinal endoscopy performed several times over 10 years had been inconclusive. Barium swallow revealed a posterior indentation of the thoracic part of the oesophagus (Figure 1). On MR angiography an aberrant right subclavian artery arising from the aortic ar...

indicates the descending aorta; asterisk, superior aortic arch; LSA, left subclavian artery; RSA, right subclavian artery; RCCA, right common carotid artery; LCCA, left common carotid artery. Panel H. Posterior views of 3D VR imaging demonstrating that the branches of the aorta arch originate from the superior aortic arch. Ao indicates the descending aorta; asterisk, superior aortic arch; LSA, ...

Tracheomalacia is one of the rarest etiologies of chronic cough. Herein, we present the case of an elderly woman with chronic cough who on detailed evaluation was found to have focal (localized) tracheomalacia due to compression by an aberrant right subclavian artery (arteria lusoria). The absence of dysphagia in this patient also deserves particular mention.

The aortic arch (AA) gives rise to the brachiocephalic trunk, the left subclavian artery and the left common carotid artery in 80% of individuals. In 1794, Bayford associated dysphagia in a female patient with the existence of an aberrant right subclavian artery (ARSA) and defined it as dysphagia lusus naturae (capricious nature). It is the most common congenital anomaly of the AA. ARSA origina...

An aberrant right subclavian artery (ARSA) is the most common vascular abnormality of the aortic arch and is associated with development of aneurysms in 3-8% of these anomalies. In this case report, we describe an 84-year-old man with a symptomatic ARSA treated with staged hybrid procedure combining surgical replacement of the ascending aorta and bilateral carotid-to-subclavian artery bypass wi...

Background  An aberrant right subclavian artery (RSA) or arteria lusoria is the most common congenital abnormality of the aortic arch with an incidence of 0.3 to 3.0%. Case Description  We report a case of a perforated aneurysmal aberrant RSA, managed using a hybrid approach. Conclusion  In emergency cases with acute bleeding, we recommend an endovascular approach to avoid the lethal sequel of ...

the reconstructed RAA was detected by echocardiography at 2 and 8 months after surgery and successfully treated by balloon angioplasty. After 18 months, the patient was asymptomatic, and her growth percentile improved from the 20th to 35th percentile. LV function normalized. Facial haemangiomas progressively decreased and disappeared (Fig. 2). DISCUSSION DAA is an anomaly caused by failure of r...